IDAHO CLINIC
NPI 1225629074
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Boise, ID
About Idaho Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDAHO CLINIC (NPI 1225629074) is a healthcare organization registered as an adult reconstructive orthopaedic surgery in Boise, Idaho and active in the NPI registry since February 2021. The organization lists Jared Armstrong, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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 Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Idaho Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Clinic's NPI number?
The NPI number for Idaho Clinic is 1225629074. It was assigned to this organization in the NPPES registry on February 3, 2021.
Where is Idaho Clinic located?
Idaho Clinic is located at 8854 W Emerald St Ste 290, Boise, ID 83704. The listed phone number is (208) 287-9420.
What is Idaho Clinic's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.
Is Idaho Clinic enrolled in Medicare?
Yes. Idaho Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Idaho Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Idaho Clinic. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Idaho Clinic accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Idaho Clinic 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 Clinic was last updated on March 1, 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.
# Idaho Clinic · NPI 1225629074
Adult Reconstructive Orthopaedic Surgery organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since February 3, 2021.
## Identity
- **NPI:** 1225629074 (Entity type: Organization)
- **Enumerated:** February 3, 2021
- **Primary specialty:** Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery · taxonomy 207XS0114X
- **Organization subpart:** No
- **Authorized official:** Jared Armstrong, OWNER
## Practice location
- **Address:** 8854 W EMERALD ST STE 290, Boise, ID 83704-4846
- **Phone:** (208) 287-9420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Orthopedic Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225629074) · Data from the CMS NPPES public registry.