HUMPHREY SHOULDER CLINIC
NPI 1760581409
Orthopaedic Surgery in Eagle, ID
About Humphrey Shoulder Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUMPHREY SHOULDER CLINIC (NPI 1760581409) is a healthcare organization registered as an orthopaedic surgery in Eagle, Idaho and active in the NPI registry since September 2006. The organization lists Carl Scott Humphrey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Humphrey Shoulder Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Humphrey Shoulder Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Shoulder Clinic, PA's NPI number?
The NPI number for Boise Shoulder Clinic, PA is 1760581409. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Humphrey Shoulder Clinic.
Where is Boise Shoulder Clinic, PA located?
Boise Shoulder Clinic, PA is located at 3381 W Bavaria Street, Eagle, ID 83616. The listed phone number is (208) 639-4800.
What is Boise Shoulder Clinic, PA's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Boise Shoulder Clinic, PA enrolled in Medicare?
Yes. Boise Shoulder Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boise Shoulder Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Boise Shoulder Clinic, PA. 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 Orthopedic Surgery (3) and Nurse Practitioner (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Boise Shoulder Clinic, PA accept?
Health plans from Moda Health Plan, Inc. list Boise Shoulder Clinic, PA 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 Shoulder Clinic, PA was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Humphrey Shoulder Clinic · NPI 1760581409
Orthopaedic Surgery organization in Eagle, Idaho. Organization record, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1760581409 (Entity type: Organization)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** Boise Shoulder Clinic, Pa
- **Organization subpart:** No
- **Authorized official:** Carl Humphrey, OWNER
## Practice location
- **Address:** 3381 W BAVARIA STREET, Eagle, ID 83616-5341
- **Phone:** (208) 639-4800 · **Fax:** (208) 639-4801
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (3), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2012
- **Other identifiers:** Medicare UPIN I36275 (ID); Medicare ID-Type Unspecified 1370000 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1760581409) · Data from the CMS NPPES public registry.