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REILLY JIMENEZ PA
NPI 1740961788
Physician Assistant in Idaho Falls, ID

Active since July 31, 2023PECOS EnrolledAccepts Medicare Assignment
2235 12TH ST APT B117, IDAHO FALLS, ID 83404(208) 419-1319 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Reilly Jimenez Pa NPPES

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

REILLY JIMENEZ PA (NPI 1740961788) is an individual physician assistant in Idaho Falls, Idaho and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740961788
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameREILLY JIMENEZCredential: PA
Location Address2235 12TH ST APT B117Idaho Falls, ID 83404-5721
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6501
Phone(208) 419-1319
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 31, 2023
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1740961788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2235 12TH ST APT B117, Idaho Falls, ID 83404
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Accepted Insurance

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

Reilly Jimenez 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 ID6901303791
PECOS Enrollment IDI20251008001300
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 83404 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.

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 Reilly Jimenez's NPI number?

The NPI number for Reilly Jimenez is 1740961788. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Reilly Jimenez located?

Reilly Jimenez practices at 2235 12th St Apt B117, Idaho Falls, ID 83404. The listed phone number is (208) 419-1319.

What is Reilly Jimenez's specialty?

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

Is Reilly Jimenez enrolled in Medicare?

Yes. Reilly Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Reilly Jimenez accept?

Health plans from Moda Health Plan, Inc. list Reilly Jimenez 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 Reilly Jimenez was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.