NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC
NPI 1104658152
Surgery in Coeur D Alene, ID

Q: What is North Idaho Endoscopy And Surgical Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 19, 2024

3318 N GRANDMILL LN, COEUR D ALENE, ID 83814(208) 292-0445(208) 772-6514 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Aug 19, 2024 (2 updates tracked since 2024).

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About North Idaho Endoscopy And Surgical Specialists, Pllc NPPES

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

NORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC (NPI 1104658152) is a healthcare organization registered as a surgery in Coeur D Alene, Idaho and active in the NPI registry since August 2024. The organization lists Cory Richardson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1104658152

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNORTH IDAHO ENDOSCOPY AND SURGICAL SPECIALISTS, PLLC

Location Address3318 N GRANDMILL LNCoeur D Alene, ID 83814-5689

Mailing Address784 S Clearwater Loop # 4128Post Falls, ID 83854-9599 · (775) 240-1338

Phone(208) 292-0445

Fax(208) 772-6514

Organization SubpartNo

Authorized OfficialCory RichardsonPresident/owner · (775) 240-1338

Enumeration DateAugust 19, 2024

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1104658152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X

3318 N GRANDMILL LN, Coeur D Alene, ID 83814

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Idaho Endoscopy And Surgical Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Idaho Endoscopy And Surgical Specialists, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Cory Richardson, MD

General Surgery

NPI 1295050342

3318 N GRANDMILL LN
Coeur D Alene, ID 83814

(208) 292-0445

✔ PECOS✔ Accepts MedicareSame address

Ethan Ferrel, MD

General Surgery

NPI 1073010054

520 S EAGLE RD STE 1241
Meridian, ID 83642

(208) 381-6930

✔ PECOS✔ Accepts Medicare284 mi

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

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 North Idaho Endoscopy And Surgical Specialists, PLLC's NPI number?

The NPI number for North Idaho Endoscopy And Surgical Specialists, PLLC is 1104658152. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is North Idaho Endoscopy And Surgical Specialists, PLLC located?

North Idaho Endoscopy And Surgical Specialists, PLLC is located at 3318 N Grandmill Ln, Coeur D Alene, ID 83814. The listed phone number is (208) 292-0445.

What is North Idaho Endoscopy And Surgical Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is North Idaho Endoscopy And Surgical Specialists, PLLC enrolled in Medicare?

Yes. North Idaho Endoscopy And Surgical Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Idaho Endoscopy And Surgical Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to North Idaho Endoscopy And Surgical Specialists, PLLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North Idaho Endoscopy And Surgical Specialists, PLLC accept?

Health plans from Molina Healthcare list North Idaho Endoscopy And Surgical Specialists, PLLC 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 North Idaho Endoscopy And Surgical Specialists, PLLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.