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

DR. MARIO A CAMPOS M.D.
NPI 1508217928
Psychiatry & Neurology - Psychiatry in Boise, ID

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
1109 W MYRTLE ST STE 200, BOISE, ID 83702(208) 706-6375(208) 706-6395 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Jul 5, 2024, Dec 30, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Mario A Campos M.d. NPPES

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

DR. MARIO A CAMPOS M.D. (NPI 1508217928) is an individual psychiatry provider in Boise, Idaho, licensed in Idaho (9071762) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508217928
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARIO A CAMPOSCredential: M.D.
Location Address1109 W MYRTLE ST STE 200Boise, ID 83702-6975
Mailing Address1109 W Myrtle St Ste 200Boise, ID 83702-6975 · (208) 706-6375
Phone(208) 706-6375
Fax(208) 706-6395
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateFebruary 12, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1508217928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in ID · 9071762✔ Licensed in NM · RS2016-0466✔ Licensed in NM · MD2020-0322
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1109 W MYRTLE ST STE 200, Boise, ID 83702
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mario A Campos M.d. 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 ID8426342155
PECOS Enrollment IDI20251216002057
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 Reassignments

4

Medicare enrollment records show Mario Campos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Treasure Valley LLC
1.0 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222
San Juan Regional Medical Center Inc
635 mi
Orthopaedic Surgery
2300 E 30TH ST BLDG D-101
Farmington, NM 87401
  • Reassigned Medicare billing, New Mexico enrollment
  • 368 clinicians in this Medicare group
NPI 1255285490 (505) 208-6280
Unm Medical Group Inc
780 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303
Nor-Lea Hospital District
1,012 mi
Critical Access
1600 NORTH MAIN
Lovington, NM 88260
  • Reassigned Medicare billing, New Mexico enrollment
  • 147 clinicians in this Medicare group
NPI 1881630036 (575) 396-6611

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

Hospital Affiliations CMS Care Compare 2

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

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number321305
Location1600 North Main AveLovington, NM 88260 · Lea County
Emergency services

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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 5

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

CRISTINA MEDRANO-ENRIQUEZ
Counselor (Professional)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375
HANNAH HOWELL
Physical Therapist
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-2663
CARLY J WILSON MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 489-4300
SCOTT STANTLIFF LCPC
Counselor (Professional)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375
PETER ADOLPHSON PMHNP-BC, RN, DNP
Nurse Practitioner (Psychiatric/Mental Health)
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Ada County (208) 706-6375

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 Mario Campos's NPI number?

The NPI number for Mario Campos is 1508217928. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Mario Campos located?

Mario Campos practices at 1109 W Myrtle St Ste 200, Boise, ID 83702. The listed phone number is (208) 706-6375.

What is Mario Campos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mario Campos enrolled in Medicare?

Yes. Mario Campos 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.

Which organizations bill Medicare for Mario Campos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Campos reassigns Medicare benefits to 4 organizations: St Lukes Clinic-Treasure Valley LLC (Boise, ID), San Juan Regional Medical Center Inc (Farmington, NM), Unm Medical Group Inc (Albuquerque, NM) and Nor-Lea Hospital District (Lovington, NM). Each 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 Mario Campos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Campos accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Mario Campos 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 Mario Campos affiliated with any hospitals?

According to CMS data, Mario Campos is affiliated with St Luke's Regional Medical Center and Nor-Lea Hospital District.

When was this NPI record last updated?

The NPPES record for Mario Campos was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.