NPIMap

St Lukes Clinic-Treasure Valley LLC

A Medicare group practice based in Boise, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4981878402), with 1,605 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981878402The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
CA, CO, FL, ID, NC, NY, OR, PA, TX, UT, VA, WA, WI
Enrollments
15
Group size
1,155 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
153In 42 places

Enrollment records 15

Enrollment IDStateProvider typeNPI
O20111119000045 ID Part B Supplier - Clinic/Group Practice 1326336058
O20120420000013 OR Part B Supplier - Clinic/Group Practice 1326336058
O20161109002873 ID Part A Provider - Rural Health Clinic 1417297821
O20180418000510 CO Part B Supplier - Clinic/Group Practice 1326336058
O20161019002551 OR Part A Provider - Rural Health Clinic 1336442607
O20251013002694 WI Part B Supplier - Clinic/Group Practice 1326336058
O20251022004270 VA Part B Supplier - Clinic/Group Practice 1326336058
O20250326000883 NC Part B Supplier - Clinic/Group Practice 1326336058
O20241105001312 PA Part B Supplier - Clinic/Group Practice 1326336058
O20241213002193 TX Part B Supplier - Clinic/Group Practice 1326336058
O20250117000272 FL Part B Supplier - Clinic/Group Practice 1326336058
O20220426001409 CA Part B Supplier - Clinic/Group Practice 1326336058
O20220420000688 UT Part B Supplier - Clinic/Group Practice 1326336058
O20230109001027 NY Part B Supplier - Clinic/Group Practice 1326336058
O20221223000130 WA Part B Supplier - Clinic/Group Practice 1326336058

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (2)
  • Southlake, TX1
  • Palm Harbor, FL1

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
87.3 of 100Reported as group, on the record of 656 clinicians in this group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Clinicians 1,605

Page 1 of 17

Clinicians who reassign their Medicare benefits to this group (1,604) or whom Care Compare lists as members (1,155).

Sources for this page