1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Psychiatry Neurology
  6. NPI Profile

DAVID B BETTIS MD
NPI 1053425603
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Boise, ID

Active since August 19, 2006PECOS Enrolled
100 E IDAHO ST, STE 201, BOISE, ID 83712(208) 381-5180(208) 381-5190 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David B Bettis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID B BETTIS MD (NPI 1053425603) is an individual neurology with special qualifications in child neurology provider in Boise, Idaho, licensed in Idaho (M5207) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053425603
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDAVID B BETTISCredential: MD
Location Address100 E IDAHO ST, STE 201Boise, ID 83712-6267
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Phone(208) 381-5180
Fax(208) 381-5190
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 24, 2013
✔ NPI 1053425603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in ID · M5207
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
100 E IDAHO ST, Boise, ID 83712
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN20002287ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David B Bettis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show David Bettis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Children's Medical Group
482 mi
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
NPI 1437555265 (559) 353-5010
Sanford Clinic
790 mi
Family Medicine
521 E SIOUX AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1255404075 (605) 945-5560
Sanford Medical Center Fargo
882 mi
Rural Health
141 MAIN STREET
Ellendale, ND 58436
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1346256682 (701) 349-3331
Sanford Medical Center
918 mi
Rural Health
211 N COMMERCIAL ST STE B
Clark, SD 57225
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1699755413 (605) 532-3676

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATHAN D MEEKER M.D.
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
MCKAY HERPEL PHARMD
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-3108
DR. FREDERICK K EMGE MD
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7384
DAN S ZUCKERMAN MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
MISTY NEISEN
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
AMY MERCER RD
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-4011
VIVIANA BAEZA NUNEZ
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 706-5287
LINDSEY M FOY MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-5180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Bettis's NPI number?

The NPI number for David Bettis is 1053425603. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is David Bettis located?

David Bettis practices at 100 E Idaho St Ste 201, Boise, ID 83712. The listed phone number is (208) 381-5180.

What is David Bettis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is David Bettis enrolled in Medicare?

Yes. David Bettis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Bettis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Bettis reassigns Medicare benefits to 4 organizations: Valley Children's Medical Group (Modesto, CA), Sanford Clinic (Pierre, SD), Sanford Medical Center Fargo (Ellendale, ND) and Sanford Medical Center (Clark, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Bettis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Bettis accept?

Health plans from Avera Health Plans list David Bettis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Bettis was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.