Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINA MARIE MURDOCK PA-C
NPI 1063205417
Physician Assistant in Idaho Falls, ID

Q: What is Tina Murdock's NPI number?

The NPI number for Tina Murdock is 1063205417. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Q: What is Tina Murdock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Murdock was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since May 28, 2025PECOS Enrolled

3111 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-0067 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, May 28, 2025 (2 updates tracked since 2025).

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About Tina Marie Murdock Pa-c NPPES

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

TINA MARIE MURDOCK PA-C (NPI 1063205417) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (3071155) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063205417

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTINA MARIE MURDOCKCredential: PA-C

Location Address3111 CHANNING WAYIdaho Falls, ID 83404-7534

Mailing Address3111 Channing WayIdaho Falls, ID 83404-7534 · (208) 529-0067

Phone(208) 529-0067

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 28, 2025

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1063205417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · 3071155

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3111 CHANNING WAY, Idaho Falls, ID 83404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Marie Murdock Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022525724

PECOS Enrollment IDI20250728003108

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

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 15

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

MS. DAWNA MARIE HENDERSON

Occupational Therapy Assistant