SCOTT K M KNUDSEN PA
NPI 1629651666
Physician Assistant in Mountain Home, ID

Q: What is Scott M Knudsen's NPI number?

The NPI number for Scott M Knudsen is 1629651666. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Q: What is Scott M Knudsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott M Knudsen was last updated on April 25, 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.

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment

120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647(208) 587-3988(208) 587-3324 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 12, 2024, Nov 7, 2023 and 1 more (4 updates tracked since 2021).

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About Scott K M Knudsen Pa NPPES

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

SCOTT K M KNUDSEN PA (NPI 1629651666) is an individual physician assistant in Mountain Home, Idaho, licensed in Idaho (PA-2589) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Un Of British Columbia, Faculty Of Medicine (2023).

NPPES Registry Identity

NPI1629651666

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSCOTT K M KNUDSENCredential: PA

Location Address120 DESERT SAGE WAYMountain Home, ID 83647-1038

Mailing Address120 Desert Sage WayMountain Home, ID 83647-1038 · (208) 587-3988

Phone(208) 587-3988

Fax(208) 587-3324

Sole ProprietorNo

Medical School CMSUn Of British Columbia, Faculty Of MedicineGraduated 2023

Enumeration DateApril 28, 2021

Last NPPES UpdateApril 25, 20244 updates tracked since enumeration

NPPES CertifiedApril 25, 2024

✔ NPI 1629651666 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-2589

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.

120 DESERT SAGE WAY, Mountain Home, ID 83647

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Accepted Insurance

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

Scott K M Knudsen Pa 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 ID1557707726

PECOS Enrollment IDI20240311000364

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

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.

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

20 services18 patients

Hospital Affiliations CMS Care Compare 3

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

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

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131311

Location895 North 6th EastMountain Home, ID 83647 · Elmore County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83647 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.

Other Providers at the Same Location NPPES 19

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

DAWN D BEST FNP

Nurse Practitioner (Family)