Active NPI 1558765891 Individual Practitioner Male Practitioner

Evan Dayne Ivie , PA

Physician Assistant • Ammon, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Evan Ivie, PA is a certified Physician Assistant practicing in Ammon, ID. With approximately 12 years of clinical experience since completing medical education in 2014, Evan Ivie delivers high-quality medical care to the local community at 3456 E 17TH ST STE 190.

Evan Ivie is affiliated with Simpson Dermcare And Family Medicine Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, strapping, unna boot, adm sarscov2 100mcg/0.5ml2nd. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3456 E 17th St Ste 190

Ammon, ID 834066749

Telephone 2085242222

Fax 8559999242

Associated Practice Facility / Clinic

🏢 Simpson Dermcare And Family Medicine Pllc Facility NPI 1174919534

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ammon, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs Matches City Avg

City Avg: 12.0 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

10 Specialists

Practicing in Ammon, ID (1261 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ivie (12 Years) 12 Yrs

Ammon Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	13	$104.00	$78.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	70	$104.66	$79.28
99213 Established patient office or other outpatient visit, typically 15 minutes	40	23	$70.00	$53.86
29580 Strapping, unna boot	40	23	$75.40	$22.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	59	$89.76	$80.73
99213 Established patient office or other outpatient visit, typically 15 minutes	60	24	$55.67	$51.63
29580 Strapping, unna boot	26	18	$97.23	$25.95
0012A Adm sarscov2 100mcg/0.5ml2nd	16	16	$35.00	$26.46
0011A Adm sarscov2 100mcg/0.5ml1st	11	11	$20.00	$13.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	57	$80.00	$64.84
29580 Strapping, unna boot	27	16	$82.81	$25.35
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$146.00	$55.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$195.38	$85.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	39	$80.00	$64.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$205.00	$86.70
29580 Strapping, unna boot	21	12	$101.52	$26.90
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$146.00	$57.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$146.00	$56.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	26	$205.00	$84.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$84.03	$63.64
36415 Insertion of needle into vein for collection of blood sample	22	17	$10.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$51.91	$41.55
11100 Biopsy of single growth of skin and/or tissue	11	11	$195.00	$81.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	38	$205.00	$85.34
99213 Established patient office or other outpatient visit, typically 15 minutes	59	41	$146.00	$57.87
36415 Insertion of needle into vein for collection of blood sample	24	17	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$93.00	$63.37
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$53.00	$40.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$204.00	$85.20

Medical Specialties & State Licenses

CMS Verified: 2025-09-03

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-1265

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1174919534 (ID)

Medicaid State Provider ID

473675862 (ID)

Hospital & Practice Group Affiliations

Simpson Dermcare And Family Medicine Pllc

3456 E 17th St, Ammon, ID 834066749

Phone: 2085242222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Mindy Williams , FNP-C

Nurse Practitioner - Family

NPI 1285150037

Family Nurse Practitioner (Certified)

Devin Wernette

Physician Assistant

NPI 1285315671

Dr. Isac Simpson , DO

Family Medicine

NPI 1386939734

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 03, 2025

Registered at 3456 E 17TH ST STE 190, AMMON, ID 834066749 (Tel: 2085242222)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Physician Assistant (License #PA-1265 in ID)

📍

Updated Business Mailing Address April 13, 2022

Registered at 3456 E 17TH ST STE 190, AMMON, ID 834066749 (Tel: 2085242222)

✅

NPI Profile Active October 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2014

Registered at 14502 W MEEKER BLVD, SUN CITY WEST, AZ 853755282 (Tel: 6235244607)

📍

Updated Business Mailing Address October 15, 2014

Registered at 14502 W MEEKER BLVD, SUN CITY WEST, AZ 853755282 (Tel: 6235244607)

👤

Provider Name / Credentials Updated October 15, 2014

Recorded as EVAN IVIE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2014

Physician Assistant (License #5905 in AZ)

🟢

Initial NPI Registration & Enumeration October 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558765891

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 15, 2014

Last Update: September 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3456 E 17th St Ste 190

Ammon, ID 834066749

Phone: 2085242222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.