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WEST IDAHO ORTHOPEDICS & SPORTS MEDICINE
NPI 1184739351
Specialist in Caldwell, ID

Active since August 20, 2006
1906 FAIRVIEW AVE STE 400, CALDWELL, ID 83605(208) 459-4511(208) 459-6602 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2024, Jul 21, 2022 (2 updates tracked since 2022).

About West Idaho Orthopedics & Sports Medicine NPPES

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

WEST IDAHO ORTHOPEDICS & SPORTS MEDICINE (NPI 1184739351) is a healthcare organization registered as a specialist in Caldwell, Idaho and active in the NPI registry since August 2006. The organization lists Michael T. Daines, Partner, as its authorized official.

NPPES Registry Identity

NPI1184739351
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameORTHOPEDIC & FRACTURE CLINIC PA
Location Address1906 FAIRVIEW AVE STE 400Caldwell, ID 83605-5424
Mailing Address1906 Fairview Ave Ste 400Caldwell, ID 83605-5424 · (208) 459-4511 · Fax (208) 459-6602
Phone(208) 459-4511
Fax(208) 459-6602
Organization SubpartNo
Authorized OfficialMichael T. DainesPartner · (208) 459-4511
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1184739351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1906 FAIRVIEW AVE STE 400, Caldwell, ID 83605
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Other Names 1

Doing Business AsWest Idaho Orthopedics & Sports Medicine

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.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)

West Idaho Orthopedics & Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to West Idaho Orthopedics & Sports Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Michael Daines, M.D.
Orthopedic Surgery
NPI 1598973992
1906 FAIRVIEW AVE STE 400
Caldwell, ID 83605
(208) 459-4511
✔ PECOS✔ Accepts MedicareSame address
John Smith, MD
Orthopedic Surgery
NPI 1447249131
1906 FAIRVIEW AVE STE 400
Caldwell, ID 83605
(208) 459-4511
✔ PECOS✔ Accepts MedicareSame address
Shane Leavitt, M.D.
Orthopedic Surgery
NPI 1942417811
3726 BROADWAY, SUITE 201
Everett, WA 98201
(425) 317-9119
✔ PECOS✔ Accepts Medicare399 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 Orthopedic & Fracture Clinic PA's NPI number?

The NPI number for Orthopedic & Fracture Clinic PA is 1184739351. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as West Idaho Orthopedics & Sports Medicine.

Where is Orthopedic & Fracture Clinic PA located?

Orthopedic & Fracture Clinic PA is located at 1906 Fairview Ave Ste 400, Caldwell, ID 83605. The listed phone number is (208) 459-4511.

What is Orthopedic & Fracture Clinic PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Orthopedic & Fracture Clinic PA enrolled in Medicare?

Yes. Orthopedic & Fracture Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedic & Fracture Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Orthopedic & Fracture Clinic PA. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orthopedic & Fracture Clinic PA accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Orthopedic & Fracture Clinic PA 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 Orthopedic & Fracture Clinic PA was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.