Individual provider Active NPI

Derek D Hayton, DO

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1821384579
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0699 Issued in ID
Practice address
300 W Main St Ste 100
Boise, ID 83702-7725
Phone
(208) 247-4279
Fax
(208) 684-2455
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0699 ID Primary

Addresses

Primary practice location

300 W Main St Ste 100
Boise, ID 83702-7725

Mailing address

300 W Main St Ste 100
Boise, ID 83702-7725
Phone (208) 247-4279

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808000886 ID Practitioner - Family PracticePractitioner - Hospitalist 7315184207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

600 N Robbins Rd
Boise, ID 83702-4565

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Raise the Bottom Training & Counseling Services, LLC CurrentSince Apr 3, 2022 Accepting new patients
HPC Medical Group PLLC Family Medicine Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Oct 30, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Oct 30, 2025 Accepting new patients
St Lukes Regional Medical Center PastSince Nov 8, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine Past Accepting new patients

Locations

9196 W Barnes Dr
Boise, ID 83709
Phone (208) 433-0400

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

600 N Robbins Rd
Ste 301
Boise, ID 83702
Phone (208) 385-3329

300 W Main St
Ste 100
Boise, ID 83702
Phone (208) 947-7100

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

1000 N Curtis Rd
Ste 302
Boise, ID 83706
Phone (208) 247-4279

784 W Clear Water Loop
Post Falls, ID 83854
Phone (206) 317-1200

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1821384579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027725",
            "telephone_number": "208-247-4279",
            "fax_number": "208-684-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAIN ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027725",
            "telephone_number": "208-247-4279",
            "fax_number": "208-684-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYTON",
        "first_name": "DEREK",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.