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IDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.
NPI 1184899973
Plastic Surgery in Boise, ID

Active since April 23, 2008
100 E IDAHO STREET, SUITE 303, BOISE, ID 83712(208) 433-1736(208) 433-1738 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2023, May 1, 2023 (2 updates tracked since 2023).

About Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.a. NPPES

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

IDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A. (NPI 1184899973), doing business as Russell H Griffiths, Mdpa, is a healthcare organization registered as a plastic surgery in Boise, Idaho and active in the NPI registry since April 2008. The organization lists Russell H Griffiths, President, as its authorized official.

NPPES Registry Identity

NPI1184899973
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameIDAHO CLEFT AND CRANIOFACIAL PEDIATRIC PLASTIC SURGERY, P.A.
Location Address100 E IDAHO STREET, SUITE 303Boise, ID 83712-6269
Mailing Address100 E Idaho Street, Suite 303Boise, ID 83712-6269 · (208) 433-1736 · Fax (208) 433-1738
Phone(208) 433-1736
Fax(208) 433-1738
Organization SubpartNo
Authorized OfficialRussell H GriffithsPresident · (208) 433-1736
Enumeration DateApril 23, 2008
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1184899973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in ID · M7454
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
100 E IDAHO STREET, SUITE 303, Boise, ID 83712
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Other Names 1

Former Legal Business NameRussell H Griffiths, Mdpa

Other Identifiers 1

Medicaid805132700ID

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

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Earl Gage, MD
Plastic and Reconstructive Surgery
NPI 1134302433
100 E IDAHO STREET, SUITE 303
Boise, ID 83712
(314) 251-4772
✔ PECOS✔ Accepts MedicareSame address
Russell Griffiths, MD
Plastic and Reconstructive Surgery
NPI 1326079609
100 E IDAHO ST SUITE 303
Boise, ID 83712
(208) 433-1736
✔ PECOS✔ Accepts MedicareSame address

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 Cleft And Craniofacial Pediatric Plastic Surgery, P.A.'s NPI number?

The NPI number for Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. is 1184899973. It was assigned to this organization in the NPPES registry on April 23, 2008. The provider was formerly known as Russell H Griffiths, Mdpa.

Where is Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. located?

Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. is located at 100 E Idaho Street, Suite 303, Boise, ID 83712. The listed phone number is (208) 433-1736.

What is Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. enrolled in Medicare?

Yes. Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A.. 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 Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. accept?

Health plans from Molina Healthcare list Idaho Cleft And Craniofacial Pediatric Plastic Surgery, P.A. 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 Cleft And Craniofacial Pediatric Plastic Surgery, P.A. was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.