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TOMAS JON SCOLERI
NPI 1265167019
Physician Assistant in Twin Falls, ID

Active since July 17, 2022PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
775 POLE LINE RD W STE 213, TWIN FALLS, ID 83301(208) 814-8475 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2022, Jul 17, 2022 (2 updates tracked since 2022).

About Tomas Jon Scoleri NPPES

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

TOMAS JON SCOLERI (NPI 1265167019) is an individual physician assistant in Twin Falls, Idaho, licensed in Idaho (PA-2303) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Twin Falls.

NPPES Registry Identity

NPI1265167019
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTOMAS JON SCOLERI
Location Address775 POLE LINE RD W STE 213Twin Falls, ID 83301-5820
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 814-8475
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 17, 2022
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1265167019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-2303
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.
775 POLE LINE RD W STE 213, Twin Falls, ID 83301
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Secondary Practice Location 1

Location 1801 Pole Line Rd WTwin Falls, ID 83301-5810 · Phone (208) 814-1000

Accepted Insurance

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

Tomas Jon Scoleri 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 ID1456736842
PECOS Enrollment IDI20220921002620
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 3

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 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.
67 services61 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.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

North Canyon Medical Center

Critical Access Hospitals · Gooding, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131302
Location267 North Canyon DrGooding, ID 83330 · Gooding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

Other Providers at the Same Location NPPES 4

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

ELLIOT MCNAMARA ADAMS M.D.
Surgery (Vascular Surgery)
775 POLE LINE RD W STE 213
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8475
EUGENE S LEE M.D., PH.D.
Surgery (Vascular Surgery)
775 POLE LINE RD W STE 213
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8953
DR. MICHAEL ZAMMIT M.D.
Surgery (Vascular Surgery)
775 POLE LINE RD W STE 213
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8475
DR. DANIELLE R DOUCET MD
Surgery (Vascular Surgery)
775 POLE LINE RD W STE 213
TWIN FALLS, ID 83301
Twin Falls County (208) 818-8475

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 Tomas Scoleri's NPI number?

The NPI number for Tomas Scoleri is 1265167019. It was assigned to this individual provider in the NPPES registry on July 17, 2022.

Where is Tomas Scoleri located?

Tomas Scoleri practices at 775 Pole Line Rd W Ste 213, Twin Falls, ID 83301. The listed phone number is (208) 814-8475.

What is Tomas Scoleri's specialty?

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

Is Tomas Scoleri enrolled in Medicare?

Yes. Tomas Scoleri 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 Tomas Scoleri accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Tomas Scoleri 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 Tomas Scoleri affiliated with any hospitals?

According to CMS data, Tomas Scoleri is affiliated with St Lukes Magic Valley Medical Center and North Canyon Medical Center.

When was this NPI record last updated?

The NPPES record for Tomas Scoleri was last updated on September 8, 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.