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KODY KURTIS TEW PA-C
NPI 1760724744
Physician Assistant - Medical in Idaho Falls, ID

Active since March 18, 2013PECOS EnrolledAccepts Medicare Assignment
2088 E 25TH ST, IDAHO FALLS, ID 83404(208) 528-7655(208) 524-9390 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kody Kurtis Tew Pa-c NPPES

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

KODY KURTIS TEW PA-C (NPI 1760724744) is an individual medical provider in Idaho Falls, Idaho, licensed in Idaho (PA-1057) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1760724744
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKODY KURTIS TEWCredential: PA-C
Location Address2088 E 25TH STIdaho Falls, ID 83404-6490
Mailing Address2088 E 25th StIdaho Falls, ID 83404-6490 · (208) 528-7655 · Fax (208) 524-9390
Phone(208) 528-7655
Fax(208) 524-9390
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 18, 2013
✔ NPI 1760724744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-1057
2088 E 25TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Select Health, University of Utah Health Plans.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

Kody Kurtis Tew Pa-c 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 ID5294974457
PECOS Enrollment IDI20130619000181
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

EMILY NEWBERRY NP
Nurse Practitioner
2088 E 25TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 528-7655
ERIC HARMS LMFT
Marriage & Family Therapist
2088 E 25TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 528-7655
JOE A ANDERSEN LPC
Counselor (Professional)
2088 E 25TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 528-7655
SNAKE RIVER HUMAN SERVICES
Social Worker
2088 E 25TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 313-7721

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 Kody Tew's NPI number?

The NPI number for Kody Tew is 1760724744. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Kody Tew located?

Kody Tew practices at 2088 E 25th St, Idaho Falls, ID 83404. The listed phone number is (208) 528-7655.

What is Kody Tew's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kody Tew enrolled in Medicare?

Yes. Kody Tew 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 Kody Tew accept?

Health plans from PacificSource Health Plans, Select Health and University of Utah Health Plans list Kody Tew 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 Kody Tew affiliated with any hospitals?

According to CMS data, Kody Tew is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Kody Tew was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.