1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Pediatrics
  6. NPI Profile

VAUN J ARCHIBALD DO
NPI 1417937517
Pediatrics in Boise, ID

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: August 16, 2026.

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid807789500ID

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 (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.

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.

What insurance does Vaun Archibald accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan 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.