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DR. BRIAN S LIDDELL D.O.
NPI 1083957310
Pediatrics in Nampa, ID

Active since April 04, 2013PECOS Enrolled
83.32/100
CMS Quality Rating
9850 W ST LUKES DR STE 270, NAMPA, ID 83687(208) 205-7820 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2021, Mar 2, 2017 (2 updates tracked since 2017).

About Dr. Brian S Liddell D.o. NPPES

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

DR. BRIAN S LIDDELL D.O. (NPI 1083957310) is an individual pediatrics provider in Nampa, Idaho, licensed in Idaho (O-1327) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beale Afb.

NPPES Registry Identity

NPI1083957310
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRIAN S LIDDELLCredential: D.O.
Location Address9850 W ST LUKES DR STE 270Nampa, ID 83687-7912
Mailing Address9850 W St Lukes Dr Ste 270Nampa, ID 83687-7912 · (208) 205-7820
Phone(208) 205-7820
Sole ProprietorNo
Enumeration DateApril 4, 2013
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1083957310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · O-1327
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9850 W ST LUKES DR STE 270, Nampa, ID 83687
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Secondary Practice Location 1

Location 115301 Warren Shingle Rd, 9th Medical GroupBeale AFB, CA 95903-1907 · Phone (530) 634-4750 · Fax (530) 634-4763

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian S Liddell D.o. 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

2

Medicare enrollment records show Brian Liddell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Treasure Valley LLC
20 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222
Permanente Medical Group Inc
458 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 83687 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 6

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

KARI CHRISTINA STORJHAM
Pediatrics
9850 W ST LUKES DR STE 270
NAMPA, ID 83687
Canyon County (208) 205-7820
DR. JOSEPH GREGORY WILBANKS MD
Pediatrics
9850 W ST LUKES DR STE 270
NAMPA, ID 83687
Canyon County (208) 205-7820
JENNIFER VANEGAS LMSW
Social Worker
9850 W ST LUKES DR STE 270
NAMPA, ID 83687
Canyon County (208) 381-5970
MICHELLE LIN GRAFF LMSW
Social Worker (Clinical)
9850 W ST LUKES DR STE 270
NAMPA, ID 83687
Canyon County (208) 205-7820
HANNA VICTORIA POPMA LCPC
Counselor (Professional)
9850 W ST LUKES DR STE 270
NAMPA, ID 83687
Canyon County (208) 205-7820
KELSEY ANN ECHEVERRIA NP
Nurse Practitioner
9850 W ST LUKES DR STE 270
NAMPA, ID 83687
Canyon County (208) 205-7820

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 Brian Liddell's NPI number?

The NPI number for Brian Liddell is 1083957310. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Brian Liddell located?

Brian Liddell practices at 9850 W St Lukes Dr Ste 270, Nampa, ID 83687. The listed phone number is (208) 205-7820.

What is Brian Liddell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brian Liddell enrolled in Medicare?

Yes. Brian Liddell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Liddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Liddell reassigns Medicare benefits to 2 organizations: St Lukes Clinic-Treasure Valley LLC (Boise, ID) and Permanente Medical Group Inc (Stockton, CA). 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 Brian Liddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Liddell accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Brian Liddell 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 Brian Liddell was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.