IDAHO EAR CLINIC, PLLC
NPI 1154976983
Otolaryngology - Otology & Neurotology in Meridian, ID

Active since August 08, 2019
1209 N SUMMERBROOK AVE, MERIDIAN, ID 83642(208) 938-5823(208) 938-5306 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2025, May 19, 2022, Aug 8, 2019 (3 updates tracked since 2019).

About Idaho Ear Clinic, Pllc NPPES

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

IDAHO EAR CLINIC, PLLC (NPI 1154976983) is a healthcare organization registered as an otology & neurotology in Meridian, Idaho and active in the NPI registry since August 2019. The organization lists James V Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1154976983
Entity TypeOrganization
Primary Taxonomy207YX0901X
Legal Business NameIDAHO EAR CLINIC, PLLC
Location Address1209 N SUMMERBROOK AVEMeridian, ID 83642-8749
Mailing Address1209 N Summerbrook Ave Ste 100Meridian, ID 83642-8750 · (208) 938-5823 · Fax (208) 938-5306
Fax(208) 938-5306
Organization SubpartNo
Authorized OfficialJames V CrawfordOwner · (208) 938-5823
Enumeration DateAugust 8, 2019
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1154976983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
1209 N SUMMERBROOK AVE, Meridian, ID 83642

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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)

Idaho Ear Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Idaho Ear Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Qualified Audiologist
NPI 1083592018
1209 N SUMMERBROOK AVE STE 100
Meridian, ID 83642
(208) 938-5823
✔ Accepts MedicareSame address
Otolaryngology
NPI 1215904966
1209 N SUMMERBROOK AVE STE 100
Meridian, ID 83642
(208) 938-5823
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1669822672
1209 N SUMMERBROOK AVE STE 100
Meridian, ID 83642
(208) 938-5823
✔ Accepts MedicareSame address
Otolaryngology
NPI 1114906013
1209 N SUMMERBROOK AVE STE 100
Meridian, ID 83642
(208) 938-5823
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1649253188
13900 W WAINWRIGHT DR STE 102
Boise, ID 83713
(208) 938-5823
✔ PECOS2.0 mi
Qualified Audiologist
NPI 1538456900
900 N LIBERTY ST STE 400
Boise, ID 83704
(208) 367-3320
✔ Accepts Medicare5.8 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 Idaho Ear Clinic, PLLC's NPI number?

The NPI number for Idaho Ear Clinic, PLLC is 1154976983. It was assigned to this organization in the NPPES registry on August 8, 2019.

Where is Idaho Ear Clinic, PLLC located?

Idaho Ear Clinic, PLLC is located at 1209 N Summerbrook Ave, Meridian, ID 83642. The listed phone number is (208) 938-5823.

What is Idaho Ear Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Idaho Ear Clinic, PLLC enrolled in Medicare?

Yes. Idaho Ear Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Ear Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Idaho Ear Clinic, 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. The largest specialties are Otolaryngology (3) and Qualified Audiologist (3). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Ear Clinic, PLLC accept?

Health plans from Moda Health Plan, Inc. list Idaho Ear Clinic, 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 Idaho Ear Clinic, PLLC was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.