SPENCER GARRETT SEIBOLD D.O.
NPI 1114214731
Family Medicine in American Falls, ID

NPI Status: Active since July 03, 2011

Contact Information

502 TYHEE AVE
AMERICAN FALLS, ID
ZIP 83211
Phone: (208) 226-3200

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NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Apr 26, 2019, Apr 15, 2019 (2 updates tracked since 2019).

  • Individual
  • Male
  • Family Medicine
  • Opted-Out Medicare

About SPENCER SEIBOLD

This page provides the complete NPI Profile along with additional information for Spencer Seibold, a primary care provider established in American Falls, Idaho with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1114214731 assigned on July 2011. The practitioner's primary taxonomy code is 207Q00000X with license number O-0803 (ID). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1114214731
Provider Name
SPENCER GARRETT SEIBOLD D.O.
Gender
Male
Entity Type
Individual
Location Address
502 TYHEE AVE AMERICAN FALLS, ID 83211
Location Phone
(208) 226-3200
Mailing Address
510 ROOSEVELT ST AMERICAN FALLS, ID 83211
Is Sole Proprietor?
No
Enumeration Date
07-03-2011
Last Update Date
04-26-2019
Code Navigator

A primary care provider (PCP) like Spencer Seibold sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Spencer Seibold opted out of Medicare effective on 12-20-2022 until 12-20-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 50 S Main
    Aberdeen, ID 83210
    (208) 226-3200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
O-0803
License State
ID
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-20-2022

  • Opt-Out End Date: 12-20-2026

  • Eligible to Order and Refer? No

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114214731, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 4 + 1 + 8 + 7 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1114214731.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
502 TYHEE AVE
AMERICAN FALLS, ID 83211
Public Health or Welfare
502 TYHEE AVE
AMERICAN FALLS, ID 83211
Nurse Practitioner (Family)
502 TYHEE AVE
AMERICAN FALLS, ID 83211
Nurse Practitioner
502 TYHEE AVE
AMERICAN FALLS, ID 83211
Student in an Organized Health Care Education/Training Program
502 TYHEE AVE
AMERICAN FALLS, ID 83211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114214731, enumerated as an "individual" on July 03, 2011.

The provider is located at 502 TYHEE AVE AMERICAN FALLS, ID 83211 and the phone number is (208) 226-3200.

Family Medicine with taxonomy code 207Q00000X.