SPINE INSTITUTE OF IDAHO P A
NPI 1659380269
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Meridian, ID
About Spine Institute Of Idaho P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPINE INSTITUTE OF IDAHO P A (NPI 1659380269) is a healthcare organization registered as an orthopaedic surgery of the spine in Meridian, Idaho and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Tyler Cooper, Office Asst Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Accepted 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)
Spine Institute Of Idaho P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Spine Institute Of Idaho P A, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D2099311
Spine Institute Of Idaho · Meridian, IDFrequently 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 Spine Institute Of Idaho P A's NPI number?
The NPI number for Spine Institute Of Idaho P A is 1659380269. It was assigned to this organization in the NPPES registry on August 5, 2006.
Where is Spine Institute Of Idaho P A located?
Spine Institute Of Idaho P A is located at 360 E Montvue Dr Suite 100, Meridian, ID 83642. The listed phone number is (208) 855-2900.
What is Spine Institute Of Idaho P A's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.
Is Spine Institute Of Idaho P A enrolled in Medicare?
Yes. Spine Institute Of Idaho P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spine Institute Of Idaho P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Spine Institute Of Idaho P A, in Neurosurgery, Orthopedic Surgery, Physical Medicine and Rehabilitation and Physical Therapist in Private Practice. 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. Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Spine Institute Of Idaho P A hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2099311) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Spine Institute Of Idaho P A accept?
Health plans from Molina Healthcare list Spine Institute Of Idaho P A 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 Spine Institute Of Idaho P A was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Spine Institute Of Idaho P A · NPI 1659380269
Orthopaedic Surgery of the Spine organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1659380269 (Entity type: Organization)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Orthopaedic Surgery - Orthopaedic Surgery of the Spine · taxonomy 207XS0117X
- **Organization subpart:** No
- **Authorized official:** Tyler Cooper, OFFICE ASST ADMINISTRATOR
## Practice location
- **Address:** 360 E MONTVUE DR, SUITE 100, Meridian, ID 83642-6318
- **Phone:** (208) 855-2900 · **Fax:** (208) 898-9877
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (2), Physical Medicine and Rehabilitation (2), Neurosurgery (1); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2016
- **Other identifiers:** Medicaid 805983000 (ID); Medicare PIN CJ6135 (ID); Medicare PIN 1377628 (ID); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659380269) · Data from the CMS NPPES public registry.