DR. LAURA TEDRICK M.D.
NPI 1528453552
Obstetrics & Gynecology in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment

1072 N LIBERTY ST STE 100, BOISE, ID 83704(208) 302-1200(208) 302-1255 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Laura Tedrick M.d. NPPES

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

DR. LAURA TEDRICK M.D. (NPI 1528453552) is an individual obstetrics & gynecology provider in Boise, Idaho, licensed in Idaho (M-14695) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1528453552

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. LAURA TEDRICKCredential: M.D.

Location Address1072 N LIBERTY ST STE 100Boise, ID 83704-8708

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-1200

Fax(208) 302-1255

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015

Enumeration DateApril 6, 2015

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 1, 2022

✔ NPI 1528453552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ID · M-14695

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1072 N LIBERTY ST STE 100, Boise, ID 83704

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Secondary Practice Location 1

Location 1Msc 10 5580, 1 University of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4051 · Fax (505) 272-6385

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

Dr. Laura Tedrick 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 ID7517271984

PECOS Enrollment IDI20190913001723

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.

Hospital Affiliations CMS Care Compare

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

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

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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

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.