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CANYON COUNTY ENDOSCOPY CENTER
NPI 1689332959
Clinic/Center - Ambulatory Surgical in Nampa, ID

Active since December 03, 2021CLIA 13D2261113 · Waiver
1216 GARRITY BLVD, NAMPA, ID 83687(208) 954-8218(208) 368-0863 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2023, Dec 15, 2022, Dec 8, 2022 and 2 more (5 updates tracked since 2021).

About Canyon County Endoscopy Center NPPES

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

CANYON COUNTY ENDOSCOPY CENTER (NPI 1689332959) is a healthcare organization registered as an ambulatory surgical in Nampa, Idaho and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists Rebecca Butterfield, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1689332959
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBOISE ENDOSCOPY CENTER, LLC
Location Address1216 GARRITY BLVDNampa, ID 83687-3402
Mailing Address2235 E Gala StMeridian, ID 83642-8026 · (208) 489-1431 · Fax (208) 343-5031
Phone(208) 954-8218
Fax(208) 368-0863
Organization SubpartYes
Authorized OfficialRebecca ButterfieldCredentialing Manager · (208) 489-1431
Enumeration DateDecember 3, 2021
Last NPPES UpdateJune 29, 20235 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1689332959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1216 GARRITY BLVD, Nampa, ID 83687
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Other Names 1

Doing Business AsCanyon County Endoscopy Center

Accepted Insurance

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

Canyon County Endoscopy Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Canyon County Endoscopy Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Gastroenterology13
Internal Medicine2

Clinicians, nearest first (15)

Kirsten Morigeau, MD
Gastroenterology
NPI 1811123961
1216 GARRITY BLVD
Nampa, ID 83687
(128) 343-6458
✔ PECOS✔ Accepts MedicareSame address
Victoria Jaeger, DO
Gastroenterology
NPI 1770938318
1200 GARRITY BLVD
Nampa, ID 83687
(208) 343-6458
✔ PECOS✔ Accepts MedicareSame address
Erin Mccoy, M.D.
Gastroenterology
NPI 1700010873
1200 GARRITY BLVD
Nampa, ID 83687
(208) 343-6458
✔ PECOS✔ Accepts MedicareSame address
Justin Tomal, M.D.
Gastroenterology
NPI 1093129751
1200 GARRITY BLVD
Nampa, ID 83687
(208) 343-6458
✔ PECOS✔ Accepts MedicareSame address
John Dever, MD
Internal Medicine
NPI 1093918724
875 S VANGUARD WAY STE 310
Meridian, ID 83642
(208) 463-3000
✔ PECOS✔ Accepts Medicare6.0 mi
Akshay Gupta, M.D.
Gastroenterology
NPI 1255542338
2235 E GALA ST
Meridian, ID 83642
(208) 887-3724
✔ PECOS✔ Accepts Medicare9.2 mi
Brian Story, MD
Gastroenterology
NPI 1851551089
2235 E GALA ST
Meridian, ID 83642
(208) 887-3724
✔ PECOS✔ Accepts Medicare9.2 mi
Christopher Hammerle, MD
Gastroenterology
NPI 1740336361
425 W BANNOCK ST
Boise, ID 83702
(208) 343-6458
✔ PECOS✔ Accepts Medicare18 mi
Robert Lockwood, M.D.
Gastroenterology
NPI 1588954101
425 W BANNOCK ST
Boise, ID 83702
(208) 343-6458
✔ PECOS✔ Accepts Medicare18 mi
Matthew Sericati, MD
Gastroenterology
NPI 1194871871
425 W BANNOCK ST
Boise, ID 83702
(208) 343-6458
✔ PECOS✔ Accepts Medicare18 mi
David Wood, M.D.
Gastroenterology
NPI 1659367993
425 W BANNOCK ST
Boise, ID 83702
(208) 343-6458
✔ PECOS✔ Accepts Medicare18 mi
Elsbeth Jensen-Otsu, MD
Gastroenterology
NPI 1366731259
500 W. FORT ST. # 111
Boise, ID 83702
(208) 422-1315
✔ PECOS✔ Accepts Medicare18 mi
Jason Farrell, DO
Internal Medicine
NPI 1982166526
100 N ACADEMY AVE
Danville, PA 17822
(570) 271-6787
✔ PECOS✔ Accepts Medicare2,036 mi
David Arner, M.D.
Gastroenterology
NPI 1851414262
1031 LOFTIS BLVD STE 201
Newport News, VA 23606
(757) 736-9850
✔ PECOS✔ Accepts Medicare2,141 mi
Oswaldo Bisbal, MD
Gastroenterology
NPI 1487686242
77 BATES ST STE 202
Lewiston, ME 04240
(207) 784-5784
✔ PECOS✔ Accepts Medicare2,284 mi

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 13D2261113

Boise Endoscopy Center Dba Canyon County Endoscopy · Nampa, ID
Active · expires May 25, 2028
CLIA Number13D2261113
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorVictoria A. Jaeger
Laboratory Phone(208) 954-8218
Laboratory LocationBoise Endoscopy Center Dba Canyon County Endoscopy1216 Garrity Blvd, Nampa, ID 83687
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
232 services228 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
220 services218 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
156 services155 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
106 services105 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
31 services31 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
30 services29 patients

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 Endoscopy Center, LLC's NPI number?

The NPI number for Boise Endoscopy Center, LLC is 1689332959. It was assigned to this organization in the NPPES registry on December 3, 2021. The provider is doing business as Canyon County Endoscopy Center.

Where is Boise Endoscopy Center, LLC located?

Boise Endoscopy Center, LLC is located at 1216 Garrity Blvd, Nampa, ID 83687. The listed phone number is (208) 954-8218.

What is Boise Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Boise Endoscopy Center, LLC enrolled in Medicare?

Yes. Boise Endoscopy Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boise Endoscopy Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Boise Endoscopy Center, LLC. 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. The largest specialties are Gastroenterology (13) and Internal Medicine (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boise Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2261113) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boise Endoscopy Center, LLC accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Select Health list Boise Endoscopy Center, LLC 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 Endoscopy Center, LLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.