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

Q: 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..

Q: What is Savarra Mantzor's specialty?

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

Q: 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 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.

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: September 06, 2026.

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

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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

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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., 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 (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.

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