AMMON ROBERTS DO
NPI 1225693666
Family Medicine in Boise, ID

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
777 N RAYMOND ST, BOISE, ID 83704(208) 514-2500(208) 375-2217 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ammon Roberts Do NPPES

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

AMMON ROBERTS DO (NPI 1225693666) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (MRO-1840) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Caldwell.

NPPES Registry Identity

NPI1225693666
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAMMON ROBERTSCredential: DO
Location Address777 N RAYMOND STBoise, ID 83704-9251
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217
Fax(208) 375-2217
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 1, 2019
NPI 1225693666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · MRO-1840
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
777 N RAYMOND ST, Boise, ID 83704

Secondary Practice Location 1

Location 1315 E Elm St Ste 100Caldwell, ID 83605-4858 · Phone (208) 459-7415 · Fax (208) 302-7188

Accepted 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

Ammon Roberts Do 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 ID9032446240
PECOS Enrollment IDI20220808003203
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 7

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.

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.
181 services73 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
103 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 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.
23 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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.

Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Social Worker (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Psychologist (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Nurse Practitioner
777 N RAYMOND ST
BOISE, ID 83704

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 Ammon Roberts's NPI number?

The NPI number for Ammon Roberts is 1225693666. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Ammon Roberts located?

Ammon Roberts practices at 777 N Raymond St, Boise, ID 83704. The listed phone number is (208) 514-2500.

What is Ammon Roberts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ammon Roberts enrolled in Medicare?

Yes. Ammon Roberts 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 Ammon Roberts accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Ammon Roberts 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.

Is Ammon Roberts affiliated with any hospitals?

According to CMS data, Ammon Roberts is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ammon Roberts was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.