DEREK CARL BRONSON
NPI 1962932343
Physician Assistant in Caldwell, ID

Active since June 18, 2017PECOS EnrolledAccepts Medicare Assignment
1717 ARLINGTON AVE, CALDWELL, ID 83605(208) 459-4641 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 28, 2021, Aug 26, 2021, Jun 18, 2017 (3 updates tracked since 2017).

About Derek Carl Bronson NPPES

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

DEREK CARL BRONSON (NPI 1962932343) is an individual physician assistant in Caldwell, Idaho and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962932343
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK CARL BRONSON
Location Address1717 ARLINGTON AVECaldwell, ID 83605-4802
Mailing Address1800 Harrison St, Fl 7Oakland, CA 94612-3466 · (505) 620-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2017
Last NPPES UpdateDecember 28, 20213 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
NPI 1962932343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1717 ARLINGTON AVE, Caldwell, ID 83605

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

Derek Carl Bronson 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 ID9436415700
PECOS Enrollment IDI20210902002018
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 83605 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.

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.

Internal Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Emergency Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Radiology (Diagnostic Radiology)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Emergency Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Radiology (Diagnostic Radiology)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Pathology (Anatomic Pathology & Clinical Pathology)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Radiology (Diagnostic Radiology)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Emergency Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962932343, enumerated as an "individual" on June 18, 2017.

The provider is located at 1717 ARLINGTON AVE CALDWELL, ID 83605 and the phone number is (208) 459-4641.

Physician Assistant with taxonomy code 363A00000X.