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TIN VUONG
NPI 1417223892
Family Medicine - Sports Medicine in Boise, ID

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
703 S AMERICANA BLVD STE 120, BOISE, ID 83702(208) 706-9340 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2021, Feb 16, 2021, Sep 9, 2019 and 1 more (4 updates tracked since 2016).

About Tin Vuong NPPES

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

TIN VUONG (NPI 1417223892) is an individual sports medicine provider in Boise, Idaho, licensed in Idaho (O-1471) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417223892
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameTIN VUONG
Location Address703 S AMERICANA BLVD STE 120Boise, ID 83702-6754
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(208) 706-9340
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateSeptember 16, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
✔ NPI 1417223892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in ID · O-1471
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
703 S AMERICANA BLVD STE 120, Boise, ID 83702
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Montgomery Hwy Ste 125Vestavia Hills, AL 35216-1840 · Phone (205) 978-4352
Location 21665 Bonanza DrPark City, UT 84060-5127 · Phone (435) 649-7640

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

Tin Vuong 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 ID8921227018
PECOS Enrollment IDI20210430001682
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 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.
75 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
67 services67 patients
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.
53 services51 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.
48 services48 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 4

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

EMILY ANNE FLANNERY MAL, LAT, ATC
Specialist/Technologist (Athletic Trainer)
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 489-5543
LOGAN ELLIS
Specialist/Technologist (Athletic Trainer)
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 489-5543
DEREK DANIEL VANDERBURG PA-C
Physician Assistant
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 706-2663
JOHN M WICK MD
Family Medicine
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 894-5543

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 Tin Vuong's NPI number?

The NPI number for Tin Vuong is 1417223892. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Tin Vuong located?

Tin Vuong practices at 703 S Americana Blvd Ste 120, Boise, ID 83702. The listed phone number is (208) 706-9340.

What is Tin Vuong's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Tin Vuong enrolled in Medicare?

Yes. Tin Vuong 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 Tin Vuong accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Tin Vuong 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 Tin Vuong affiliated with any hospitals?

According to CMS data, Tin Vuong is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tin Vuong was last updated on September 16, 2021. 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.