KEYSTONE PHYSICAL MEDICINE
NPI 1770963274
Physical Medicine & Rehabilitation - Pain Medicine in Boise, ID

Q: What is Elevate Health Group PLLC's NPI number?

The NPI number for Elevate Health Group PLLC is 1770963274. It was assigned to this organization in the NPPES registry on June 1, 2015. The provider is doing business as Keystone Physical Medicine.

Q: What is Elevate Health Group PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since June 01, 2015

420 W MAIN ST, #206, BOISE, ID 83702(208) 426-9200 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Keystone Physical Medicine NPPES

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

KEYSTONE PHYSICAL MEDICINE (NPI 1770963274) is a healthcare organization registered as a pain medicine in Boise, Idaho and active in the NPI registry since June 2015. The organization lists Cory M Sartin, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1770963274

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameELEVATE HEALTH GROUP PLLC

Location Address420 W MAIN ST, #206Boise, ID 83702-7284

Mailing AddressPo Box 2193Boise, ID 83701-2193

Phone(208) 426-9200

Organization SubpartNo

Authorized OfficialCory M SartinClinic Director · (208) 426-9200

Enumeration DateJune 1, 2015

Last NPPES UpdateOctober 19, 2015

✔ NPI 1770963274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in ID · NP-1093A

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License NP-1093A (ID)

420 W MAIN ST, Boise, ID 83702

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Other Names 1

Doing Business AsKeystone Physical Medicine

Other Identifiers 1

Medicare UPIN20007639ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keystone Physical Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Keystone Physical Medicine, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

John Dewitt, D.C.

Chiropractic

NPI 1760657373

1220 N MERIDIAN RD
Meridian, ID 83642

(208) 884-5000

✔ Accepts Medicare9.7 mi

Paul Garcia, DC

Chiropractic

NPI 1235335142

2122 W EVEREST LN
Meridian, ID 83646

(208) 343-2770

✔ Accepts Medicare12 mi

Dana Clark, D.C.

Chiropractic

NPI 1750314647

10780 SANTA MONICA BLVD STE 200
Los Angeles, CA 90025

(310) 473-7130

✔ Accepts Medicare671 mi

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 Elevate Health Group PLLC's NPI number?

The NPI number for Elevate Health Group PLLC is 1770963274. It was assigned to this organization in the NPPES registry on June 1, 2015. The provider is doing business as Keystone Physical Medicine.

Where is Elevate Health Group PLLC located?

Elevate Health Group PLLC is located at 420 W Main St #206, Boise, ID 83702. The listed phone number is (208) 426-9200.

What is Elevate Health Group PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Elevate Health Group PLLC enrolled in Medicare?

Yes. Elevate Health Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elevate Health Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Elevate Health Group PLLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elevate Health Group PLLC accept?

Health plans from Moda Health Plan, Inc. list Elevate Health Group PLLC 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 Elevate Health Group PLLC was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.