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HEATHER NICOLE KNUTSON N.P.
NPI 1215936034
Dermatology in Eagle, ID

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
96.33/100
CMS Quality Rating
1605 E RIVERSIDE DRIVE, EAGLE, ID 83616(208) 939-6227(208) 939-6442 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2022, Jul 21, 2022, Oct 1, 2020 and 4 more (7 updates tracked since 2017).

About Heather Nicole Knutson N.p. NPPES

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

HEATHER NICOLE KNUTSON N.P. (NPI 1215936034) is an individual dermatology provider in Eagle, Idaho, licensed in Idaho (NP672A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1215936034
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameHEATHER NICOLE KNUTSONCredential: N.P.
Location Address1605 E RIVERSIDE DRIVEEagle, ID 83616-6237
Mailing Address1605 E Riverside DriveEagle, ID 83616-6237 · (208) 939-6227 · Fax (208) 939-6442
Phone(208) 939-6227
Fax(208) 939-6442
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 14, 2005
Last NPPES UpdateNovember 3, 20227 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1215936034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in ID · NP672A
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1605 E RIVERSIDE DRIVE, Eagle, ID 83616
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Other Names 1

Former Name (1)Heather Nicole Gaston N.p.

Other Identifiers 2

OtherP00748833ID · Railroad Medicare 08/01/09
OtherNP 672AID · Np License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.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

Heather Nicole Knutson N.p. 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 ID4789635541
PECOS Enrollment IDI20050209000419
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,791 services253 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
511 services334 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
473 services306 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
246 services166 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
116 services102 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
80 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.33
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,096 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,520 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%163 patients
Provide Patients Electronic Access to Their Health Information
94%2,579 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%154 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA ANN COYNE PA
Physician Assistant (Medical)
1605 E RIVERSIDE DRIVE
EAGLE, ID 83616
Ada County (208) 939-6227
KELLER SKIN & CANCER CARE PC
Dermatology
1605 E RIVERSIDE DRIVE
EAGLE, ID 83616
Ada County (208) 939-6227

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 Heather Knutson's NPI number?

The NPI number for Heather Knutson is 1215936034. It was assigned to this individual provider in the NPPES registry on July 14, 2005. The provider is also known as Heather Nicole Gaston N.P..

Where is Heather Knutson located?

Heather Knutson practices at 1605 E Riverside Drive, Eagle, ID 83616. The listed phone number is (208) 939-6227.

What is Heather Knutson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Heather Knutson enrolled in Medicare?

Yes. Heather Knutson 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 Heather Knutson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Heather Knutson 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 Heather Knutson was last updated on November 3, 2022. 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.