MR. DELMAR WALLACE SMITH P.A.
NPI 1336110980
Physician Assistant - Medical in Mountain Home, ID

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
2000 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647(208) 587-1500(208) 587-3180 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Delmar Wallace Smith P.a. NPPES

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

MR. DELMAR WALLACE SMITH P.A. (NPI 1336110980) is an individual medical provider in Mountain Home, Idaho, licensed in Idaho (PA-265) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1985).

NPPES Registry Identity

NPI1336110980
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DELMAR WALLACE SMITHCredential: P.A.
Location Address2000 AMERICAN LEGION BLVDMountain Home, ID 83647-3138
Mailing Address2000 American Legion BlvdMountain Home, ID 83647-3138 · (208) 587-1500 · Fax (208) 587-3180
Fax(208) 587-3180
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1985
Enumeration DateJanuary 31, 2006
Last NPPES UpdateFebruary 25, 2008
NPI 1336110980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-265
2000 AMERICAN LEGION BLVD, Mountain Home, ID 83647

Other Identifiers 3

Medicare ID-Type Unspecified1378052ID · Group
Medicare UPINQ25302ID
Medicare ID-Type Unspecified1666124ID · Individual

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

Mr. Delmar Wallace Smith P.a. 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 ID3779543939
PECOS Enrollment IDI20041013000360
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 5

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.
294 services89 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.
240 services86 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.
54 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services39 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.
40 services24 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

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers66 claims66 services$105.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims36 services$34.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Pharmacy (Community/Retail Pharmacy)
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Family Medicine
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647

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 Delmar Smith's NPI number?

The NPI number for Delmar Smith is 1336110980. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Delmar Smith located?

Delmar Smith practices at 2000 American Legion Blvd, Mountain Home, ID 83647. The listed phone number is (208) 587-1500.

What is Delmar Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Delmar Smith enrolled in Medicare?

Yes. Delmar Smith 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 Delmar Smith accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Delmar Smith 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 Delmar Smith affiliated with any hospitals?

According to CMS data, Delmar Smith is affiliated with St Luke's Regional Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Delmar Smith was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.