Active NPI
Chase Maddock, PA-C
- Physician Assistant
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-2346
- Practice address
- 725 Pole Line Rd W
Twin Falls, ID 83301-5800 - Phone
- (208) 814-1600
- Fax
- (208) 814-1910
- NPI assigned
- Aug 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA-2346 | ID | Primary |
Addresses
Primary practice location
725 Pole Line Rd W
Twin Falls, ID 83301-5800
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752
Other practice location 1
775 Pole Line Rd W Ste 103
Twin Falls, ID 83301-5819
Phone (208) 814-8375
Other practice location 2
712 29th St
Ogden, UT 84403-0266
Phone (307) 722-3447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
725 Pole Line Rd W
Twin Falls, ID 83301-5860
Phone (208) 814-1600
775 Pole Line W Rd
111W
Twin Falls, ID 83301-5819
Phone (208) 336-9188
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Lukes Magic Valley Medical Center
- St Luke'S Wood River Medical Center
- Minidoka Memorial Hospital
- St Luke'S Jerome
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.09 of 100
- Quality
- 77.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Idaho, LLC | Family Medicine | Current | Accepting new patients |
| Urgent Care of Idaho, LLC | Family Medicine | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700
133 W Avenue A
#B
Jerome, ID 83338
Phone (208) 324-2004
2392 Addison Ave E
Twin Falls, ID 83301
Phone (208) 933-2050
725 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1600
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Urgent Care Clinic/Center
- Burley, ID
- NPI 1790043693
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
- Critical Access Hospital
- Jerome, ID
- NPI 1366874877
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1649670522",
"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": "208-381-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 POLE LINE RD W",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015800",
"telephone_number": "208-814-1600",
"fax_number": "208-814-1910"
}
],
"practiceLocations": [
{
"address_1": "775 Pole Line Rd W Ste 103",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015819",
"country_code": "US",
"telephone_number": "208-814-8375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "712 29th St",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844030266",
"country_code": "US",
"telephone_number": "307-722-3447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADDOCK",
"first_name": "CHASE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-28",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-2346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.