VAUN J ARCHIBALD DO
NPI 1417937517
Pediatrics in Boise, ID

Q: What is Vaun Archibald's NPI number?

The NPI number for Vaun Archibald is 1417937517. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Vaun Archibald's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vaun Archibald was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 17, 2006PECOS Enrolled

1072 N LIBERTY ST, SUITE 203, BOISE, ID 83704(208) 367-4321(208) 367-4525 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vaun J Archibald Do NPPES

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

VAUN J ARCHIBALD DO (NPI 1417937517) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (O-0449) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417937517

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameVAUN J ARCHIBALDCredential: DO

Location Address1072 N LIBERTY ST, SUITE 203Boise, ID 83704-8708

Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 367-4321

Fax(208) 367-4525

Sole ProprietorNo

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJune 4, 2013

✔ NPI 1417937517 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-0449

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 ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License O-0449 (ID)

1072 N LIBERTY ST, Boise, ID 83704

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Other Identifiers 1

Medicaid807789500ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, 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)

Vaun J Archibald Do 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 Vaun Archibald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Regional Medical Center Inc

0.1 mi

Psychologist

1055 N CURTIS RD
Boise, ID 83706

Reassigned Medicare billing, Idaho enrollment
781 clinicians in this Medicare group

NPI 1649357716 (208) 367-4148

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 83704 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 20

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

BRUCE J ANDERSEN MD

Neurological Surgery

1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704

Ada County (208) 367-4035

COLIN ALAN LYNESS MD

Psychiatry & Neurology (Neurology)

1072 N LIBERTY ST, STE 303
BOISE, ID 83704

Ada County (208) 302-4200

DR. JULIANA L DIGIOSIA MD

Obstetrics & Gynecology

1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704

Ada County (208) 302-1200

SHANA L TUBACH MD

Pediatrics

1072 N LIBERTY ST, SUITE 203
BOISE, ID 83704

Ada County (208) 302-5800

DR. REBECCA L MCCAFFREY MD

Obstetrics & Gynecology

1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704

Ada County (208) 302-1200

TREASURE VALLEY COLON & RECTAL CLINIC PLLC

Colon & Rectal Surgery

1072 N LIBERTY ST, SUITE 201
BOISE, ID 83704

Ada County (208) 377-2273

KARISSA DEANN KEENAN M.D.

Obstetrics & Gynecology

1072 N LIBERTY ST, STE 100
BOISE, ID 83704

Ada County (208) 302-1200

DR. JACKIE J WHITESELL MD

Psychiatry & Neurology (Neurology)

1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704

Ada County (208) 367-2800

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 Vaun Archibald's NPI number?

The NPI number for Vaun Archibald is 1417937517. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Vaun Archibald located?

Vaun Archibald practices at 1072 N Liberty St Suite 203, Boise, ID 83704. The listed phone number is (208) 367-4321.

What is Vaun Archibald's specialty?

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

Is Vaun Archibald enrolled in Medicare?

Yes. Vaun Archibald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vaun Archibald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaun Archibald reassigns Medicare benefits to Saint Alphonsus Regional Medical Center Inc (Boise, 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 Vaun Archibald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vaun Archibald accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan and Select Health list Vaun Archibald 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 Vaun Archibald was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.