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ANDREW NOLAN MONSON D.O.
NPI 1366836843
Pediatrics in Twin Falls, ID

Active since March 23, 2015PECOS Enrolled
775 POLE LINE RD W STE 111, TWIN FALLS, ID 83301(208) 814-8000(208) 733-9402 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2020, May 22, 2020, Apr 1, 2017 and 1 more (4 updates tracked since 2017).

About Andrew Nolan Monson D.o. NPPES

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

ANDREW NOLAN MONSON D.O. (NPI 1366836843) is an individual pediatrics provider in Twin Falls, Idaho, licensed in Idaho (O-1371) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366836843
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREW NOLAN MONSONCredential: D.O.
Location Address775 POLE LINE RD W STE 111Twin Falls, ID 83301-5819
Mailing Address775 Pole Line Rd W Ste 111Twin Falls, ID 83301-5819 · (208) 814-8000 · Fax (208) 733-9402
Phone(208) 814-8000
Fax(208) 733-9402
Sole ProprietorNo
Enumeration DateMarch 23, 2015
Last NPPES UpdateJune 26, 20204 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1366836843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · O-1371
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
775 POLE LINE RD W STE 111, Twin Falls, ID 83301
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Nolan Monson 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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Monson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Luke's Clinic LLC
Same address
Family Medicine
775 POLE LINE RD W
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Lukes Clinic LLC
  • 322 clinicians in this Medicare group
NPI 1790718229 (208) 814-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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

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

GAIL RAE COOK P.A.
Physician Assistant (Medical)
775 POLE LINE RD W STE 111
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000

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 Andrew Monson's NPI number?

The NPI number for Andrew Monson is 1366836843. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Andrew Monson located?

Andrew Monson practices at 775 Pole Line Rd W Ste 111, Twin Falls, ID 83301. The listed phone number is (208) 814-8000.

What is Andrew Monson's specialty?

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

Is Andrew Monson enrolled in Medicare?

Yes. Andrew Monson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Monson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Monson reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). The 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 Andrew Monson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Monson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Andrew Monson 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 Andrew Monson was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.