JACESON BANHAM PA-C
NPI 1295544344
Physician Assistant in Idaho Falls, ID

Active since January 03, 2025PECOS EnrolledAccepts Medicare Assignment
1957 E 17TH ST, IDAHO FALLS, ID 83404(208) 523-1100 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2026, Jan 3, 2025 (2 updates tracked since 2025).

About Jaceson Banham Pa-c NPPES

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

JACESON BANHAM PA-C (NPI 1295544344) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (8671842) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295544344
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACESON BANHAMCredential: PA-C
Location Address1957 E 17TH STIdaho Falls, ID 83404-6429
Mailing Address1957 E 17th StIdaho Falls, ID 83404-6429 · (208) 523-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 3, 2025
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1295544344 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 · 8671842
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.

1957 E 17TH ST, Idaho Falls, ID 83404

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

Jaceson Banham 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 ID1254852684
PECOS Enrollment IDI20250303000247
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.

Hospital Affiliations CMS Care Compare 2

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130074
Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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 8

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

Dietitian, Registered
1957 E 17TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered
1957 E 17TH ST
IDAHO FALLS, ID 83404
Physician Assistant
1957 E 17TH ST
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1957 E 17TH ST
IDAHO FALLS, ID 83404
Pharmacist
1957 E 17TH ST
IDAHO FALLS, ID 83404
Nurse Practitioner
1957 E 17TH ST
IDAHO FALLS, ID 83404
Internal Medicine (Hematology & Oncology)
1957 E 17TH ST
IDAHO FALLS, ID 83404
Durable Medical Equipment & Medical Supplies
1957 E 17TH ST
IDAHO FALLS, ID 83404

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 Jaceson Banham's NPI number?

The NPI number for Jaceson Banham is 1295544344. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Jaceson Banham located?

Jaceson Banham practices at 1957 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 523-1100.

What is Jaceson Banham's specialty?

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

Is Jaceson Banham enrolled in Medicare?

Yes. Jaceson Banham 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 Jaceson Banham accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Jaceson Banham 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 Jaceson Banham affiliated with any hospitals?

According to CMS data, Jaceson Banham is affiliated with Mountain View Hospital and Idaho Falls Community Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Jaceson Banham was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.