ARIEL SHANTAY AVIS TAYSOM PA-C
NPI 1609341098
Physician Assistant in Malad City, ID

Active since October 11, 2018PECOS EnrolledAccepts Medicare Assignment
220 BANNOCK ST, MALAD CITY, ID 83252(208) 766-2600(208) 766-4258 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2021, Oct 11, 2018 (2 updates tracked since 2018).

About Ariel Shantay Avis Taysom Pa-c NPPES

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

ARIEL SHANTAY AVIS TAYSOM PA-C (NPI 1609341098) is an individual physician assistant in Malad City, Idaho, licensed in Idaho (PA-1656) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609341098
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameARIEL SHANTAY AVIS TAYSOMCredential: PA-C
Location Address220 BANNOCK STMalad City, ID 83252-5068
Mailing Address220 Bannock StMalad City, ID 83252-5068 · (208) 766-2600 · Fax (208) 766-4258
Fax(208) 766-4258
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 11, 2018
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1609341098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-1656
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

220 BANNOCK ST, Malad City, ID 83252

Accepted 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

Ariel Shantay Avis Taysom Pa-c 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 ID2769726447
PECOS Enrollment IDI20220801002930
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 6

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 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.
522 services231 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
131 services120 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services37 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.
33 services33 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
30 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83252 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier25 claims25 services$8.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims30 services$115.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Internal Medicine
220 BANNOCK ST
MALAD CITY, ID 83252
Physician Assistant
220 BANNOCK ST, SUITE B
MALAD CITY, ID 83252
Clinic/Center (Rural Health)
220 BANNOCK ST
MALAD CITY, ID 83252
Clinic/Center (Rural Health)
220 BANNOCK ST
MALAD CITY, ID 83252
Nurse Practitioner
220 BANNOCK ST
MALAD CITY, ID 83252
Family Medicine
220 BANNOCK ST
MALAD CITY, ID 83252
Physician Assistant
220 BANNOCK ST, SUITE 306
MALAD CITY, ID 83252
Nurse Practitioner (Family)
220 BANNOCK ST
MALAD CITY, ID 83252

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 Ariel Taysom's NPI number?

The NPI number for Ariel Taysom is 1609341098. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Ariel Taysom located?

Ariel Taysom practices at 220 Bannock St, Malad City, ID 83252. The listed phone number is (208) 766-2600.

What is Ariel Taysom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ariel Taysom enrolled in Medicare?

Yes. Ariel Taysom 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 Ariel Taysom accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Ariel Taysom 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 Ariel Taysom affiliated with any hospitals?

According to CMS data, Ariel Taysom is affiliated with Portneuf Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Ariel Taysom was last updated on November 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.