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DR. ERIK DAVID SIBBERNSEN M.D.
NPI 1750791471
Internal Medicine in Eagle, ID

Active since May 02, 2014PECOS EnrolledAccepts Medicare Assignment
3101 E STATE ST STE 2120, EAGLE, ID 83616(208) 473-3275(208) 473-3276 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Jun 10, 2024, Aug 15, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Erik David Sibbernsen M.d. NPPES

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

DR. ERIK DAVID SIBBERNSEN M.D. (NPI 1750791471) is an individual internal medicine provider in Eagle, Idaho, licensed in Idaho (M-17816) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Utah School Of Medicine (2014).

NPPES Registry Identity

NPI1750791471
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ERIK DAVID SIBBERNSENCredential: M.D.
Location Address3101 E STATE ST STE 2120Eagle, ID 83616-6232
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 813-8752
Phone(208) 473-3275
Fax(208) 473-3276
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2014
Enumeration DateMay 2, 2014
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1750791471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · M-17816
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 01075639A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License PG168052 (OR)
3101 E STATE ST STE 2120, Eagle, ID 83616
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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.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

Dr. Erik David Sibbernsen M.d. 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 ID6103142823
PECOS Enrollment IDI20240816002903
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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

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

SHARON L KRASOVICH M.S., RN, FNP-BC
Nurse Practitioner
3101 E STATE ST STE 2120
EAGLE, ID 83616
Ada County (208) 473-3275

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 Erik Sibbernsen's NPI number?

The NPI number for Erik Sibbernsen is 1750791471. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Erik Sibbernsen located?

Erik Sibbernsen practices at 3101 E State St Ste 2120, Eagle, ID 83616. The listed phone number is (208) 473-3275.

What is Erik Sibbernsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Erik Sibbernsen enrolled in Medicare?

Yes. Erik Sibbernsen 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 Erik Sibbernsen accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Erik Sibbernsen 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.

Is Erik Sibbernsen affiliated with any hospitals?

According to CMS data, Erik Sibbernsen is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Erik Sibbernsen was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.