1. Home
  2. Directory
  3. Idaho
  4. Burley
  5. Physician Assistant
  6. NPI Profile

JESSE G BRADSHAW PA-C
NPI 1821579012
Physician Assistant in Burley, ID

Active since August 24, 2018PECOS EnrolledAccepts Medicare Assignment
1252 BENNETT AVE STE B, BURLEY, ID 83318(208) 647-0656 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2018, Aug 24, 2018 (2 updates tracked since 2018).

About Jesse G Bradshaw Pa-c NPPES

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

JESSE G BRADSHAW PA-C (NPI 1821579012) is an individual physician assistant in Burley, Idaho, licensed in Idaho (PA1467) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Cassia Regional Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821579012
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJESSE G BRADSHAWCredential: PA-C
Location Address1252 BENNETT AVE STE BBurley, ID 83318-2664
Mailing Address243 Cheney Dr W Ste 200Twin Falls, ID 83301-4278 · (208) 647-0656 · Fax (208) 647-0659
Phone(208) 647-0656
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2018
Last NPPES UpdateDecember 13, 20182 updates tracked since enumeration
✔ NPI 1821579012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA1467
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.
1252 BENNETT AVE STE B, Burley, ID 83318
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.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

Jesse G Bradshaw 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 ID6800133059
PECOS Enrollment IDI20190124003776
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services33 patients
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.
28 services19 patients

Hospital Affiliations CMS Care Compare

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

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131326
Location1501 Hiland AvenueBurley, ID 83318 · Cassia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims28 services$6.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$774.63 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 supplier18 claims18 services$104.33 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims3,075 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$19.47 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.

STERLING MEDICAL LLC
Clinic/Center (Urgent Care)
1252 BENNETT AVE STE B
BURLEY, ID 83318
Cassia County (208) 878-8783
EVAN JOHNSON PA-C
Physician Assistant
1252 BENNETT AVE STE B
BURLEY, ID 83318
Cassia County (208) 647-0656

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 Jesse Bradshaw's NPI number?

The NPI number for Jesse Bradshaw is 1821579012. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Jesse Bradshaw located?

Jesse Bradshaw practices at 1252 Bennett Ave Ste B, Burley, ID 83318. The listed phone number is (208) 647-0656.

What is Jesse Bradshaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jesse Bradshaw enrolled in Medicare?

Yes. Jesse Bradshaw 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 Jesse Bradshaw accept?

Health plans from Moda Health Plan, Inc. and Select Health list Jesse Bradshaw 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 Jesse Bradshaw affiliated with any hospitals?

According to CMS data, Jesse Bradshaw is affiliated with Cassia Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jesse Bradshaw was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.