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AUTUMN CLEGG
NPI 1255059440
Physician Assistant in Pocatello, ID

Active since August 15, 2022PECOS EnrolledAccepts Medicare Assignment
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209(208) 282-4726 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 14, 2024, Aug 15, 2022 (2 updates tracked since 2022).

About Autumn Clegg NPPES

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

AUTUMN CLEGG (NPI 1255059440) is an individual physician assistant in Pocatello, Idaho and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255059440
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUTUMN CLEGG
Location Address921 S 8TH AVE STOP 8253Pocatello, ID 83209-0002
Mailing Address743 Robin StSmithfield, UT 84335-1001 · (435) 754-5542
Phone(208) 282-4726
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 15, 2022
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1255059440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
921 S 8TH AVE STOP 8253, Pocatello, ID 83209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Autumn Clegg 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 ID2567985088
PECOS Enrollment IDI20250325003668
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83209 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.

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.

HAO YAN
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
MICHAEL BRIGGS
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
KYLEE PEREZ
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
BROCK WILLIAM KENNETH RICHARDSON
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
RACHEL FLUCKIGER
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
MORGAN ELIZABETH MURRAY
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
PRESTON HELWEGE
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
ETHAN MCALLISTER
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726

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 Autumn Clegg's NPI number?

The NPI number for Autumn Clegg is 1255059440. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Autumn Clegg located?

Autumn Clegg practices at 921 S 8th Ave Stop 8253, Pocatello, ID 83209. The listed phone number is (208) 282-4726.

What is Autumn Clegg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Autumn Clegg enrolled in Medicare?

Yes. Autumn Clegg 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 Autumn Clegg accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Autumn Clegg 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 Autumn Clegg was last updated on August 14, 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.