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BOISE LASER AND COSMETIC SURGERY CENTER PC
NPI 1649410218
Otolaryngology - Facial Plastic Surgery in Boise, ID

Active since February 23, 2009
6077 N EAGLE RD, BOISE, ID 83713(208) 939-9000(208) 939-9580 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boise Laser And Cosmetic Surgery Center Pc NPPES

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

BOISE LASER AND COSMETIC SURGERY CENTER PC (NPI 1649410218) is a healthcare organization registered as a facial plastic surgery in Boise, Idaho and active in the NPI registry since February 2009. The organization lists Bret J Rodgers, Physician, as its authorized official.

NPPES Registry Identity

NPI1649410218
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameBOISE LASER AND COSMETIC SURGERY CENTER PC
Location Address6077 N EAGLE RDBoise, ID 83713-0997
Mailing Address6077 N Eagle RdBoise, ID 83713-0997 · (208) 939-9000 · Fax (208) 939-9580
Phone(208) 939-9000
Fax(208) 939-9580
Organization SubpartNo
Authorized OfficialBret J RodgersPhysician · (208) 939-9000
Enumeration DateFebruary 23, 2009
Last NPPES UpdateNovember 8, 2010
✔ NPI 1649410218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
6077 N EAGLE RD, Boise, ID 83713
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN1101650ID
Medicaid806174700ID
Medicare UPINH26494

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boise Laser And Cosmetic Surgery Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boise Laser And Cosmetic Surgery Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bret Rodgers
Otolaryngology
NPI 1396763272
6077 N EAGLE RD
Boise, ID 83713
(208) 939-9000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Boise Laser And Cosmetic Surgery Center PC's NPI number?

The NPI number for Boise Laser And Cosmetic Surgery Center PC is 1649410218. It was assigned to this organization in the NPPES registry on February 23, 2009.

Where is Boise Laser And Cosmetic Surgery Center PC located?

Boise Laser And Cosmetic Surgery Center PC is located at 6077 N Eagle Rd, Boise, ID 83713. The listed phone number is (208) 939-9000.

What is Boise Laser And Cosmetic Surgery Center PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Boise Laser And Cosmetic Surgery Center PC enrolled in Medicare?

Yes. Boise Laser And Cosmetic Surgery Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boise Laser And Cosmetic Surgery Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Boise Laser And Cosmetic Surgery Center PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Boise Laser And Cosmetic Surgery Center PC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Boise Laser And Cosmetic Surgery Center PC 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 Boise Laser And Cosmetic Surgery Center PC was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.