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

DR. ANDREW BENJAMIN VIZCARRA M.D.
NPI 1629502265
Pediatrics in Sandpoint, ID

Active since April 19, 2017PECOS Enrolled
810 SIXTH AVE, SANDPOINT, ID 83864(208) 263-7101 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Apr 11, 2024, Jul 23, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Andrew Benjamin Vizcarra M.d. NPPES

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

DR. ANDREW BENJAMIN VIZCARRA M.D. (NPI 1629502265) is an individual pediatrics provider in Sandpoint, Idaho, licensed in Idaho (M-17696) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629502265
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ANDREW BENJAMIN VIZCARRACredential: M.D.
Location Address810 SIXTH AVESandpoint, ID 83864-5396
Mailing Address301 Cedar St Ste 206Sandpoint, ID 83864-1425 · (208) 637-1012
Phone(208) 263-7101
Sole ProprietorNo
Enumeration DateApril 19, 2017
Last NPPES UpdateApril 23, 20246 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1629502265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ID · M-17696✔ Licensed in TN · 60530
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.
810 SIXTH AVE, Sandpoint, ID 83864
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Dr. Andrew Benjamin Vizcarra M.d. 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 83864 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 13

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

KIMBERLY AMELIA RUTLAND WHNP
Nurse Practitioner (Obstetrics & Gynecology)
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-6252
TAMMY LYNN UNDIEMI FNP-BC
Nurse Practitioner
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-3410
MS. DEBRA ANN FREUND MS RN CPNP
Nurse Practitioner
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-7101
SARAH RAINS PA-C
Physician Assistant
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-6252
TARA LEIGH WEEKS VIZCARRA M.D.
Pediatrics
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242
SASHA MALONEY
Counselor (Addiction (Substance Use Disorder))
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-3410
DR. KAITLIN REBECCA GAGNON DMD
Dentist
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242
MEGAN GENTRY PA-C
Physician Assistant (Medical)
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242

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 Andrew Vizcarra's NPI number?

The NPI number for Andrew Vizcarra is 1629502265. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Andrew Vizcarra located?

Andrew Vizcarra practices at 810 Sixth Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-7101.

What is Andrew Vizcarra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andrew Vizcarra enrolled in Medicare?

Yes. Andrew Vizcarra is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Vizcarra accept?

Health plans from Providence Health Plan list Andrew Vizcarra 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 Andrew Vizcarra was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.