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J CLAYTON ROSCOE M.D.
NPI 1871522086
Family Medicine in Boise, ID

Active since July 01, 2006PECOS Enrolled
6565 W EMERALD ST, BOISE, ID 83704(208) 514-2510(208) 375-2217 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About J Clayton Roscoe M.d. NPPES

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

J CLAYTON ROSCOE M.D. (NPI 1871522086) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M9164) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1871522086
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJ CLAYTON ROSCOECredential: M.D.
Location Address6565 W EMERALD STBoise, ID 83704-8737
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 367-6030 · Fax (208) 367-6123
Phone(208) 514-2510
Fax(208) 375-2217
Sole ProprietorNo
Enumeration DateJuly 1, 2006
Last NPPES UpdateNovember 7, 2018
✔ NPI 1871522086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M9164
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6565 W EMERALD ST, Boise, ID 83704
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Secondary Practice Location 1

Location 1777 N Raymond StBoise, ID 83704-9251 · Phone (208) 367-6030 · Fax (208) 367-6123

Other Identifiers 2

Medicaid1871522086ID
Medicaid806357900ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Clayton Roscoe M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

VICTORIA L SLICHTER
Social Worker
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 514-2510
HANNAH ELISABETH UNDERDAHL RN, MSN, CNM, WHNP
Advanced Practice Midwife
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 514-2510
CHRISTOPHER S LINK MD
Family Medicine
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 514-2510
DR. JANET GAIL ROBINSON D.O.
Family Medicine
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 377-5055
KAYSIE M MURDOCK PHARMD
Pharmacist
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 514-2512
LOLA BOTERO PHARMD
Pharmacist
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 514-2512
JAMIE WATTS NP
Nurse Practitioner (Family)
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 514-2510
HANNAH MAX LPC
Counselor (Professional)
6565 W EMERALD ST
BOISE, ID 83704
Ada County (208) 514-2510

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 J Roscoe's NPI number?

The NPI number for J Roscoe is 1871522086. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is J Roscoe located?

J Roscoe practices at 6565 W Emerald St, Boise, ID 83704. The listed phone number is (208) 514-2510.

What is J Roscoe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is J Roscoe enrolled in Medicare?

Yes. J Roscoe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for J Roscoe was last updated on November 7, 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.