LOUISSA CAROLYN GORDON PA-C
NPI 1821484452
Physician Assistant in Boise, ID

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
121 E FORT ST, BOISE, ID 83712(208) 514-2525(208) 375-2217 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Louissa Carolyn Gordon Pa-c NPPES

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

LOUISSA CAROLYN GORDON PA-C (NPI 1821484452) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1772) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821484452
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLOUISSA CAROLYN GORDONCredential: PA-C
Location Address121 E FORT STBoise, ID 83712-6322
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217
Fax(208) 375-2217
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 10, 2015
Last NPPES UpdateAugust 22, 2019
NPI 1821484452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ID · PA-1772 Licensed in WA · PA60549072
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.

121 E FORT ST, Boise, ID 83712

Other Names 1

Former Name (1)Louissa C Sauter

Accepted 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

Louissa Carolyn Gordon 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 ID1254644362
PECOS Enrollment IDI20190923002957
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.

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$61.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Pediatrics
121 E FORT ST
BOISE, ID 83712
Pediatrics
121 E FORT ST
BOISE, ID 83712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821484452, enumerated as an "individual" on April 10, 2015.

The provider is located at 121 E FORT ST BOISE, ID 83712 and the phone number is (208) 514-2525.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.

Louissa Gordon is affiliated with: ST LUKE'S REGIONAL MEDICAL CENTER and SAINT ALPHONSUS REGIONAL MEDICAL CENTER.