Active NPI
Weston Peine, DO
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5181911
- Practice address
- 190 E Bannock St
Boise, ID 83712-6241 - Phone
- (208) 381-2235
- Fax
- (208) 381-4556
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5181911 | ID | Primary |
| Emergency Medicine Physician | 207P00000X | V5115 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8866
Other practice location 1
2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-5815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (254) 690-0900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V5115 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Associates of Central Texas PA | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900
701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1215418280
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coryell Health
- Critical Access Hospital
- Gatesville, TX
- NPI 1780823021
-
dba Seton Medical Center Harker Heights
- General Acute Care Hospital
- Harker Heights, TX
- NPI 1841562709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1316641574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-2235",
"fax_number": "208-381-4556"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "254-724-5815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEINE",
"first_name": "WESTON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "5181911",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "V5115",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.