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TARA MARIE DAVIDSON MD
NPI 1164085452
Internal Medicine in Boise, ID

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
100 E IDAHO ST, BOISE, ID 83712(208) 381-2711(208) 381-4025 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jul 3, 2025, Jul 19, 2023 and 4 more (7 updates tracked since 2019).

About Tara Marie Davidson Md NPPES

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

TARA MARIE DAVIDSON MD (NPI 1164085452) is an individual internal medicine provider in Boise, Idaho, licensed in Texas (U2470) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164085452
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTARA MARIE DAVIDSONCredential: MD
Location Address100 E IDAHO STBoise, ID 83712-6267
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-2711
Fax(208) 381-4025
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateSeptember 11, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1164085452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · U2470✔ Licensed in MN · 67727✔ Licensed in MN · 30238
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 7271557 (ID)
100 E IDAHO ST, Boise, ID 83712
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11515 Holcombe BlvdHouston, TX 77030-4000 · Phone (713) 792-6161
Location 2200 1st St SWRochester, MN 55905-0002 · Phone (507) 284-2511
Location 33884 S Morningwind AveBoise, ID 83706-5900 · Phone (208) 761-0263

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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 and accepts Medicare assignment

Tara Marie Davidson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901130582
PECOS Enrollment IDI20250717004162
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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. NATHAN D MEEKER M.D.
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
MCKAY HERPEL PHARMD
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-3108
DR. FREDERICK K EMGE MD
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7384
DAN S ZUCKERMAN MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
MISTY NEISEN
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
AMY MERCER RD
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-4011
DAVID B BETTIS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Ada County (208) 381-5180
VIVIANA BAEZA NUNEZ
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 706-5287

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 Tara Davidson's NPI number?

The NPI number for Tara Davidson is 1164085452. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Tara Davidson located?

Tara Davidson practices at 100 E Idaho St, Boise, ID 83712. The listed phone number is (208) 381-2711.

What is Tara Davidson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tara Davidson enrolled in Medicare?

Yes. Tara Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tara Davidson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Tara Davidson 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.

Is Tara Davidson affiliated with any hospitals?

According to CMS data, Tara Davidson is affiliated with St Luke's Regional Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Tara Davidson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.