DR. CHARLES TRAVIS CRIDDLE D.O.
NPI 1366646150
Pediatrics in Meridian, ID

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

Active since June 13, 2007PECOS Enrolled

3277 E LOUISE DR, SUITE 200, MERIDIAN, ID 83642(208) 468-5930(208) 463-3044 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Charles Travis Criddle D.o. NPPES

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

DR. CHARLES TRAVIS CRIDDLE D.O. (NPI 1366646150) is an individual pediatrics provider in Meridian, Idaho, licensed in Idaho (O-0532) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366646150

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CHARLES TRAVIS CRIDDLECredential: D.O.

Location Address3277 E LOUISE DR, SUITE 200Meridian, ID 83642-9351

Mailing Address217 W Georgia Ave, Suite 115Nampa, ID 83686-6811 · (208) 463-3234 · Fax (208) 463-3044

Phone(208) 468-5930

Fax(208) 463-3044

Sole ProprietorNo

Enumeration DateJune 13, 2007

Last NPPES UpdateDecember 18, 2009

✔ NPI 1366646150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in ID · O-0532✔ Licensed in IL · 125-051457

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3277 E LOUISE DR, Meridian, ID 83642

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Other Identifiers 1

Medicaid8084089ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Travis Criddle D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.