DEREK KOHLHASE MD
NPI 1407410830
Family Medicine in Star, ID

Q: What is Derek Kohlhase's NPI number?

The NPI number for Derek Kohlhase is 1407410830. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Derek Kohlhase's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Kohlhase was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment

10717 W STATE ST, STAR, ID 83669(208) 302-6300(208) 302-6355 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 1, 2019 (2 updates tracked since 2019).

On this page

About Derek Kohlhase Md NPPES

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

DEREK KOHLHASE MD (NPI 1407410830) is an individual family medicine provider in Star, Idaho, licensed in Idaho (M-15600) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Nampa.

NPPES Registry Identity

NPI1407410830

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDEREK KOHLHASECredential: MD

Location Address10717 W STATE STStar, ID 83669-6046

Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 302-9342 · Fax (208) 367-5180

Phone(208) 302-6300

Fax(208) 302-6355

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2019

Enumeration DateMay 1, 2019

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1407410830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · M-15600✔ Licensed in ID · MRM-1814

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10717 W STATE ST, Star, ID 83669

Open in Google Maps ↗

Secondary Practice Location 1

Location 1215 E Hawaii AveNampa, ID 83686-6011 · Phone (208) 514-2529 · Fax (208) 375-2217

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Kohlhase Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193052645

PECOS Enrollment IDI20220803002492

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

264 services134 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

76 services76 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130013

Location4300 E Flamingo AveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID

5/5 CMS rating

OwnershipProprietary

CMS Certification Number130014

Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83669 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 2

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

DR. LINDA M HANEY MD

Family Medicine

10717 W STATE ST
STAR, ID 83669

Ada County (208) 302-6300

NATHAN R. MASON MD

Family Medicine

10717 W STATE ST
STAR, ID 83669

Ada County (208) 302-6300

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 Derek Kohlhase's NPI number?

The NPI number for Derek Kohlhase is 1407410830. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Derek Kohlhase located?

Derek Kohlhase practices at 10717 W State St, Star, ID 83669. The listed phone number is (208) 302-6300.

What is Derek Kohlhase's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derek Kohlhase enrolled in Medicare?

Yes. Derek Kohlhase is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derek Kohlhase accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Derek Kohlhase 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.

Is Derek Kohlhase affiliated with any hospitals?

According to CMS data, Derek Kohlhase is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and West Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Kohlhase was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.