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DR. JENNIFER ANN DEBLIECK MD
NPI 1861421240
Dermatology in Boise, ID

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
92.72/100
CMS Quality Rating
13176 W PERSIMMON LN, BOISE, ID 83713(208) 939-5030 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jennifer Ann Deblieck Md NPPES

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

DR. JENNIFER ANN DEBLIECK MD (NPI 1861421240) is an individual dermatology provider in Boise, Idaho, licensed in Idaho (M7045) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1861421240
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. JENNIFER ANN DEBLIECKCredential: MD
Location Address13176 W PERSIMMON LNBoise, ID 83713-1986
Mailing Address5137 N Leather PlBoise, ID 83713-1865
Phone(208) 939-5030
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1990
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 26, 2010
✔ NPI 1861421240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in ID · M7045
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
13176 W PERSIMMON LN, Boise, ID 83713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Ann Deblieck Md 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 ID648202333
PECOS Enrollment IDI20050901000785
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Deblieck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jan Deblieck MD PA
Same address
Dermatology
13176 W PERSIMMON LN
Boise, ID 83713
  • Reassigned Medicare billing, Idaho enrollment
NPI 1497960983 (208) 939-5030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
642 services130 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.
524 services364 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
257 services195 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
84 services71 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
80 services64 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
74 services63 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
79%1,084 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
79%476 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
67%1,974 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%1,168 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

BOISE SPEECH AND HEARING CLINIC
Speech-Language Pathologist
13176 W PERSIMMON LN, SUITE 120
BOISE, ID 83713
Ada County (208) 376-3591
JAN DEBLIECK MD PA
Dermatology
13176 W PERSIMMON LN
BOISE, ID 83713
Ada County (208) 939-5030
BREK DAVID STOKER AUD, CCC-A
Specialist
13176 W PERSIMMON LN, #120
BOISE, ID 83713
Ada County (208) 376-3591
MRS. ALESIA J. HITCHCOCK M.S.
Speech-Language Pathologist
13176 W PERSIMMON LN, SUITE 120
BOISE, ID 83713
Ada County (208) 376-3591
DR. VICTOR HERBERT HORCH D.C.
Chiropractor
13176 W PERSIMMON LN, SUITE 110
BOISE, ID 83713
Ada County (208) 321-0044
JESS SEYMOUR BOEDER MS., CCC, SLP
Speech-Language Pathologist
13176 W PERSIMMON LN, STE. 120
BOISE, ID 83713
Ada County (208) 376-3591

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 Jennifer Deblieck's NPI number?

The NPI number for Jennifer Deblieck is 1861421240. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Jennifer Deblieck located?

Jennifer Deblieck practices at 13176 W Persimmon Ln, Boise, ID 83713. The listed phone number is (208) 939-5030.

What is Jennifer Deblieck's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jennifer Deblieck enrolled in Medicare?

Yes. Jennifer Deblieck 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.

Which organization bills Medicare for Jennifer Deblieck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Deblieck reassigns Medicare benefits to Jan Deblieck MD PA (Boise, ID). The 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 Jennifer Deblieck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Deblieck accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Jennifer Deblieck 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 Jennifer Deblieck affiliated with any hospitals?

According to CMS data, Jennifer Deblieck is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Deblieck was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.