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DR. MITCHELL JACKSON MOFFITT M.D.
NPI 1093895229
Pediatrics in Twin Falls, ID

Active since October 16, 2006PECOS Enrolled
775 POLE LINE RD W, SUITE 111, TWIN FALLS, ID 83301(208) 814-8000(208) 733-9402 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mitchell Jackson Moffitt M.d. NPPES

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

DR. MITCHELL JACKSON MOFFITT M.D. (NPI 1093895229) is an individual pediatrics provider in Twin Falls, Idaho, licensed in Idaho (M-10017) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093895229
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MITCHELL JACKSON MOFFITTCredential: M.D.
Location Address775 POLE LINE RD W, SUITE 111Twin Falls, ID 83301-5814
Mailing AddressPo Box 587Twin Falls, ID 83303-0587 · (208) 814-7400 · Fax (208) 814-7491
Phone(208) 814-8000
Fax(208) 733-9402
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1093895229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · M-10017
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.
775 POLE LINE RD W, Twin Falls, ID 83301
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Other Identifiers 2

Medicaid807839500ID
Medicare PIN11000701ID

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mitchell Jackson Moffitt M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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.

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. RONALD WILLIAM BLAIR D.O.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400
JOHN A BAKER M.D.
Internal Medicine
775 POLE LINE RD W, SUITE 302
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8600
BLUE LAKES GASTROENTEROLOGY, PLLC
Internal Medicine (Gastroenterology)
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
KOVIC SHANE BAILEY DO
Family Medicine
775 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
DANIEL G PREUCIL M.D.
Family Medicine
775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
BRUCE C MCCOMAS M.D.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400
PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVEL
Family Medicine
775 POLE LINE RD W, SUITE 105 & 111
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
HEATHER MERTEN KOHRING FNP-C
Nurse Practitioner
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300

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 Mitchell Moffitt's NPI number?

The NPI number for Mitchell Moffitt is 1093895229. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Mitchell Moffitt located?

Mitchell Moffitt practices at 775 Pole Line Rd W Suite 111, Twin Falls, ID 83301. The listed phone number is (208) 814-8000.

What is Mitchell Moffitt's specialty?

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

Is Mitchell Moffitt enrolled in Medicare?

Yes. Mitchell Moffitt is registered in the Medicare PECOS enrollment system.

What insurance does Mitchell Moffitt accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Mitchell Moffitt 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 Mitchell Moffitt was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.