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

ETHAN FEUERBORN D.O.
NPI 1629418280
Internal Medicine - Sleep Medicine in Boise, ID

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
7272 W POTOMAC DR, BOISE, ID 83704(208) 884-2922(208) 884-2923 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2025, Jun 24, 2024, Oct 13, 2022 (3 updates tracked since 2022).

About Ethan Feuerborn D.o. NPPES

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

ETHAN FEUERBORN D.O. (NPI 1629418280) is an individual sleep medicine provider in Boise, Idaho, licensed in Idaho (O-1045) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629418280
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameETHAN FEUERBORNCredential: D.O.
Location Address7272 W POTOMAC DRBoise, ID 83704-9149
Mailing Address7272 W Potomac DrBoise, ID 83704-9149 · (088) 842-9222 · Fax (208) 884-2923
Phone(208) 884-2922
Fax(208) 884-2923
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 27, 2013
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1629418280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in ID · O-1045
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
7272 W POTOMAC DR, Boise, ID 83704
Open in Google Maps ↗

Accepted Insurance

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

Ethan Feuerborn D.o. 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 ID2264750066
PECOS Enrollment IDI20170728003034
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

2

Medicare enrollment records show Ethan Feuerborn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sleep Wake Idaho PLLC
Same address
Sleep Medicine
7272 W POTOMAC DR
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 6 clinicians in this Medicare group
NPI 1700642683 (208) 884-2922
Presbyterian Healthcare Services
754 mi
Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1154307593 (505) 753-7111

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

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

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
$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.

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$11.93 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
1 supplier11 claims11 services$67.52 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 7

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

MRS. SONJA DEE STONE FNP
Nurse Practitioner (Family)
7272 W POTOMAC DR
BOISE, ID 83704
Ada County (208) 884-2922
TANYA M PENNY OT
Occupational Therapist
7272 W POTOMAC DR
BOISE, ID 83704
Ada County (208) 375-8222
IDAHO SLEEP SERVICES, LLC
Clinic/Center (Sleep Disorder Diagnostic)
7272 W POTOMAC DR
BOISE, ID 83704
Ada County (208) 375-8222
SLEEP WAKE IDAHO PLLC
Internal Medicine (Sleep Medicine)
7272 W POTOMAC DR
BOISE, ID 83704
Ada County (208) 884-2922
MS. CYNTHIA M BOULTON NP
Nurse Practitioner (Family)
7272 W POTOMAC DR
BOISE, ID 83704
Ada County (208) 884-2922
MS. TAYA D GILL PA-C
Physician Assistant (Medical)
7272 W POTOMAC DR
BOISE, ID 83704
Ada County (208) 884-2922
MR. MARK C WEINROBE MD
Internal Medicine
7272 W POTOMAC DR
BOISE, ID 83704
Ada County (208) 463-3000

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 Ethan Feuerborn's NPI number?

The NPI number for Ethan Feuerborn is 1629418280. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Ethan Feuerborn located?

Ethan Feuerborn practices at 7272 W Potomac Dr, Boise, ID 83704. The listed phone number is (208) 884-2922.

What is Ethan Feuerborn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Ethan Feuerborn enrolled in Medicare?

Yes. Ethan Feuerborn 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 Ethan Feuerborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Feuerborn reassigns Medicare benefits to 2 organizations: Sleep Wake Idaho PLLC (Boise, ID) and Presbyterian Healthcare Services (Espanola, 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 Ethan Feuerborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Feuerborn accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list Ethan Feuerborn 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 Ethan Feuerborn affiliated with any hospitals?

According to CMS data, Ethan Feuerborn is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Feuerborn was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.