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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: August 16, 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
Phone(208) 459-4641
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
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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.

GEM-STATE ANESTHESIA SERVICES, PLLC
Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 455-3940
BRIAN W MOSS M.D.
Emergency Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-4641
ASHLEY FAE WHITE NP
Nurse Practitioner (Family)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-4641
HELICASE LLC
Psychiatry & Neurology (Psychiatry)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (919) 886-0690
TRAVIS HENDERSON CRNA
Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-4641
WEST VALLEY MEDICAL ASSOCIATES INC
Internal Medicine
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 459-3669
GRANDE RONDE HOSPITAL, INC
Family Medicine (Sleep Medicine)
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 367-4817
LARRY EDGERTON CRNA
Nurse Anesthetist, Certified Registered
1717 ARLINGTON AVE
CALDWELL, ID 83605
Canyon County (208) 455-3940

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 Derek Bronson's NPI number?

The NPI number for Derek Bronson is 1962932343. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Derek Bronson located?

Derek Bronson practices at 1717 Arlington Ave, Caldwell, ID 83605. The listed phone number is (208) 459-4641.

What is Derek Bronson's specialty?

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

Is Derek Bronson enrolled in Medicare?

Yes. Derek Bronson 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.

When was this NPI record last updated?

The NPPES record for Derek Bronson was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.