TRAVIS HOUSEHOLDER PA-C
NPI 1285032367
Physician Assistant in Las Vegas, NV

Q: What is Travis Householder's NPI number?

The NPI number for Travis Householder is 1285032367. It was assigned to this individual provider in the NPPES registry on December 5, 2014.

Q: What is Travis Householder's specialty?

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

Active since December 05, 2014PECOS EnrolledAccepts Medicare Assignment

83.84/100

CMS Quality Rating

3150 N TENAYA WAY STE 260, LAS VEGAS, NV 89128(702) 962-5920 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Dec 7, 2015 (2 updates tracked since 2015).

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About Travis Householder Pa-c NPPES

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

TRAVIS HOUSEHOLDER PA-C (NPI 1285032367) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA3037) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Mountainview Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285032367

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTRAVIS HOUSEHOLDERCredential: PA-C

Location Address3150 N TENAYA WAY STE 260Las Vegas, NV 89128-0459

Mailing AddressPo Box 100744Atlanta, GA 30384-6666

Phone(702) 962-5920

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 5, 2014

Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1285032367 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 NV · PA3037

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.

3150 N TENAYA WAY STE 260, Las Vegas, NV 89128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Travis Householder Pa-c 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 ID3678890548

PECOS Enrollment IDI20240820002841

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 2

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

16 services16 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV

4/5 CMS rating

OwnershipProprietary

CMS Certification Number290039

Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

83.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.59

Promoting Interoperability

100

Improvement Activities

Cost

58.63

Other Providers at the Same Location NPPES 12

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

DEEPAK MALHOTRA M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)