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NORTH FORK ORTHOPEDIC SURGERY
NPI 1336907450
Orthopaedic Surgery in Meridian, ID

Active since March 12, 2024
875 S VANGUARD WAY STE 110, MERIDIAN, ID 83642(208) 595-4440(855) 592-2514 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Fork Orthopedic Surgery NPPES

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

NORTH FORK ORTHOPEDIC SURGERY (NPI 1336907450) is a healthcare organization registered as an orthopaedic surgery in Meridian, Idaho and active in the NPI registry since March 2024. The organization lists Jesse Dylan Chlebeck, Owner, as its authorized official.

NPPES Registry Identity

NPI1336907450
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHOPAEDIC TRAUMA CONSULTANTS OF IDAHO
Location Address875 S VANGUARD WAY STE 110Meridian, ID 83642-8541
Mailing Address875 S Vanguard Way Ste 110Meridian, ID 83642-8541 · (208) 595-4440
Phone(208) 595-4440
Fax(855) 592-2514
Organization SubpartNo
Authorized OfficialJesse Dylan ChlebeckOwner · (208) 595-4440
Enumeration DateMarch 12, 2024
Last NPPES UpdateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1336907450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
875 S VANGUARD WAY STE 110, Meridian, ID 83642
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Other Names 1

Doing Business AsNorth Fork Orthopedic Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Fork Orthopedic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Fork Orthopedic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jesse Chlebeck, M.D.
Orthopedic Surgery
NPI 1073879185
9850 W ST LUKES DR STE 215
Nampa, ID 83687
(208) 706-2663
✔ PECOS✔ Accepts Medicare8.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Orthopaedic Trauma Consultants Of Idaho's NPI number?

The NPI number for Orthopaedic Trauma Consultants Of Idaho is 1336907450. It was assigned to this organization in the NPPES registry on March 12, 2024. The provider is doing business as North Fork Orthopedic Surgery.

Where is Orthopaedic Trauma Consultants Of Idaho located?

Orthopaedic Trauma Consultants Of Idaho is located at 875 S Vanguard Way Ste 110, Meridian, ID 83642. The listed phone number is (208) 595-4440.

What is Orthopaedic Trauma Consultants Of Idaho's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Orthopaedic Trauma Consultants Of Idaho enrolled in Medicare?

Yes. Orthopaedic Trauma Consultants Of Idaho is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopaedic Trauma Consultants Of Idaho?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Orthopaedic Trauma Consultants Of Idaho. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orthopaedic Trauma Consultants Of Idaho accept?

Health plans from Moda Health Plan, Inc. list Orthopaedic Trauma Consultants Of Idaho 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 Orthopaedic Trauma Consultants Of Idaho was last updated on April 9, 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.