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SAMANTHA JO SMITH PA-C
NPI 1992270557
Physician Assistant in Boise, ID

Active since October 10, 2018PECOS EnrolledAccepts Medicare Assignment
1000 E PARK BLVD, BOISE, ID 83712(208) 871-0644 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 17, 2020, Oct 10, 2018 (2 updates tracked since 2018).

About Samantha Jo Smith Pa-c NPPES

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

SAMANTHA JO SMITH PA-C (NPI 1992270557) is an individual physician assistant in Boise, Idaho and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992270557
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA JO SMITHCredential: PA-C
Location Address1000 E PARK BLVDBoise, ID 83712-7791
Mailing Address3622 W Sunset AveBoise, ID 83703-4855 · (208) 871-0644
Phone(208) 871-0644
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 10, 2018
Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration
✔ NPI 1992270557 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.
1000 E PARK BLVD, Boise, ID 83712
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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.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

Samantha Jo Smith 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 ID9133465016
PECOS Enrollment IDI20190114003076
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 3

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.
100 services84 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.
69 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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

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

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 supplier11 claims11 services$67.21 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 4

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

ALEX TANABE M.D.
Internal Medicine
1000 E PARK BLVD
BOISE, ID 83712
Ada County (208) 381-4100
DR. MICHAEL ALFRED BIDDLE JR. PHARM.D., BCPS
Pharmacist
1000 E PARK BLVD
BOISE, ID 83712
Ada County (208) 381-4100
ZOE ANNA HARDY
Specialist/Technologist, Pathology (Laboratory Management)
1000 E PARK BLVD
BOISE, ID 83712
Ada County (208) 989-8192
RYAN JOHN DAY MD
Internal Medicine
1000 E PARK BLVD, SUITE 120
BOISE, ID 83712
Ada County (208) 381-4100

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 Samantha Smith's NPI number?

The NPI number for Samantha Smith is 1992270557. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Samantha Smith located?

Samantha Smith practices at 1000 E Park Blvd, Boise, ID 83712. The listed phone number is (208) 871-0644.

What is Samantha Smith's specialty?

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

Is Samantha Smith enrolled in Medicare?

Yes. Samantha Smith 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 Samantha Smith accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Samantha Smith 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 Samantha Smith affiliated with any hospitals?

According to CMS data, Samantha Smith is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Smith was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.