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

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: August 16, 2026.

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.

Other Providers at the Same Location NPPES 16

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

ELIAS DAVID ELKAS CALKINS
Radiology (Diagnostic Radiology)
3277 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 706-7086
KALEY KOSAK
Physical Therapist
3277 E LOUISE DR, SUITE 410
MERIDIAN, ID 83642
Ada County (208) 489-5825
ROBYN R DEVELLE DC, NP-C
Nurse Practitioner
3277 E LOUISE DR, SUITE 410
MERIDIAN, ID 83642
Ada County (208) 489-5800
KJERANNE RUMMEL APRN-CNP
Nurse Practitioner (Family)
3277 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 381-7335
MR. KELLY R. OLSON PT
Physical Therapist
3277 E LOUISE DR, SUITE 410
MERIDIAN, ID 83642
Ada County (208) 489-5800
MR. ANTONY DUNCAN PT
Physical Therapist
3277 E LOUISE DR, SUITE 410
MERIDIAN, ID 83642
Ada County (208) 489-5800
ANASTASIA BEITING
Physical Therapist
3277 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 385-3525
KATIE E COPELAND M.D.
Pediatrics
3277 E LOUISE DR, SUITE 200
MERIDIAN, ID 83642
Ada County (208) 468-5930

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 Charles Criddle's NPI number?

The NPI number for Charles Criddle is 1366646150. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Charles Criddle located?

Charles Criddle practices at 3277 E Louise Dr Suite 200, Meridian, ID 83642. The listed phone number is (208) 468-5930.

What is Charles Criddle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Charles Criddle enrolled in Medicare?

Yes. Charles Criddle is registered in the Medicare PECOS enrollment system.

What insurance does Charles Criddle accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Charles Criddle 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 Charles Criddle was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.