DEMITRI CARAHALIOS PHYSICIAN ASSISTANT
NPI 1346973245
Physician Assistant in Meridian, ID

Active since July 07, 2022Opted out of Medicare · through Sep 18, 2027
1311 E CENTRAL DR, MERIDIAN, ID 83642(720) 940-1562 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Demitri Carahalios Physician Assistant NPPES

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

DEMITRI CARAHALIOS PHYSICIAN ASSISTANT (NPI 1346973245) is an individual physician assistant in Meridian, Idaho and active in the NPI registry since July 2022. He has opted out of Medicare through September 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346973245
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEMITRI CARAHALIOSCredential: PHYSICIAN ASSISTANT
Location Address1311 E CENTRAL DRMeridian, ID 83642-7991
Mailing Address2709 N 28th StBoise, ID 83703-5417 · (720) 940-1562
Sole ProprietorNo
Enumeration DateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
NPI 1346973245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1311 E CENTRAL DR, Meridian, ID 83642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Demitri Carahalios Physician Assistant has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2023 through September 18, 2027.

Opt-Out Effective DateSeptember 18, 2023
Opt-Out In Effect ThroughSeptember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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 20

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

Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346973245, enumerated as an "individual" on July 07, 2022.

The provider is located at 1311 E CENTRAL DR MERIDIAN, ID 83642 and the phone number is (720) 940-1562.

Physician Assistant with taxonomy code 363A00000X.