1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Pediatrics
  6. NPI Profile

SAVARRA MARIE MANTZOR M.D.
NPI 1164702049
Pediatrics in Boise, ID

Active since August 23, 2011PECOS Enrolled
8610 W OVERLAND RD, BOISE, ID 83709(089) 548-7112(208) 375-2217 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 19, 2025, Dec 15, 2023 (2 updates tracked since 2023).

About Savarra Marie Mantzor M.d. NPPES

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

SAVARRA MARIE MANTZOR M.D. (NPI 1164702049) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (M-15442) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1164702049
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAVARRA MARIE MANTZORCredential: M.D.
Location Address8610 W OVERLAND RDBoise, ID 83709-1645
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217
Phone(089) 548-7112
Fax(208) 375-2217
Sole ProprietorNo
Enumeration DateAugust 23, 2011
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1164702049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ID · M-15442✔ Licensed in PA · MD455508
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.
8610 W OVERLAND RD, Boise, ID 83709
Open in Google Maps ↗

Other Names 1

Former Name (1)Savarra Marie Peterson M.d.

Secondary Practice Location 1

Location 1190 E Bannock StBoise, ID 83712-6241 · Phone (208) 381-2645 · Fax (208) 381-7170

Other Identifiers 1

Medicaid1164702049ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savarra Marie Mantzor 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Savarra Mantzor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Full Circle Health, Inc.
1.9 mi
Federally Qualified Health Center (FQHC)
777 N RAYMOND ST
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 152 clinicians in this Medicare group
NPI 1841490075 (208) 514-2500
St Lukes Clinic-Treasure Valley LLC
5.2 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83709 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.

MRS. LISA S LABOR MD
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711
MIKELLE E MIKESELL DO
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711
JEFFERY RUSSELL MEADOR LMFT
Marriage & Family Therapist
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711
ZAKARY LANDERS DO
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711
MEGAN L MARSTAELLER MD
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711
JOSIE B JOSEPH DO
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711
HOLLY BURRELL DO
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711
MEGHAN KATHLEEN MURPHY DO
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 954-8711

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 Savarra Mantzor's NPI number?

The NPI number for Savarra Mantzor is 1164702049. It was assigned to this individual provider in the NPPES registry on August 23, 2011. The provider is also known as Savarra Marie Peterson M.D..

Where is Savarra Mantzor located?

Savarra Mantzor practices at 8610 W Overland Rd, Boise, ID 83709. The listed phone number is (089) 548-7112.

What is Savarra Mantzor's specialty?

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

Is Savarra Mantzor enrolled in Medicare?

Yes. Savarra Mantzor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Savarra Mantzor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Savarra Mantzor reassigns Medicare benefits to 2 organizations: Full Circle Health, Inc. (Boise, ID) and St Lukes Clinic-Treasure Valley LLC (Boise, ID). Each 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 Savarra Mantzor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Savarra Mantzor accept?

Health plans from Moda Health Plan, Inc. and Select Health list Savarra Mantzor 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 Savarra Mantzor was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.