Active NPI 1124309224 Individual Practitioner Male Practitioner

Robert Slade Thacker , APRN CFNP

Nurse Practitioner - Family • Caldwell, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Thacker, APRN CFNP is a certified Nurse Practitioner - Family practicing in Caldwell, ID. With approximately 22 years of clinical experience since completing medical education in 2004, Robert Thacker delivers high-quality medical care to the local community at 712 AVIATION WAY.

Robert Thacker is affiliated with Saint Alphonsus Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, advance care planning, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

712 Aviation Way

Caldwell, ID 836051154

Telephone 2083027100

Fax 2083027155

Associated Practice Facility / Clinic

🏢 Saint Alphonsus Regional Medical Center Inc Facility NPI 1861676298

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Caldwell, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +12.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 9.0 Yrs

Regional Practice Density

26 Specialists

Practicing in Caldwell, ID (1231 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thacker (22 Years) 22 Yrs

Caldwell Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	153	93	$220.76	$102.72
99213 Established patient office or other outpatient visit, typically 15 minutes	134	90	$154.81	$72.15
99497 Advance care planning, first 30 minutes	124	123	$171.95	$66.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$355.83	$104.54
G0444 Annual depression screening, 5 to 15 minutes	115	115	$53.63	$15.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	95	64	$53.24	$13.33
83036 Hemoglobin A1C level	55	30	$30.00	$9.37
36415 Insertion of needle into vein for collection of blood sample	15	14	$9.00	$8.07
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$862.15	$289.25
G0009 Administration of pneumococcal vaccine	13	13	$65.54	$29.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	105	$133.00	$70.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	113	$197.00	$100.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$312.00	$102.98
36415 Insertion of needle into vein for collection of blood sample	81	81	$9.00	$8.40
83036 Hemoglobin A1C level	63	33	$30.00	$9.10
99497 Advance care planning, first 30 minutes	26	26	$163.00	$66.25
G0008 Administration of influenza virus vaccine	21	21	$66.00	$24.72
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	19	19	$183.00	$75.81
G0444 Annual depression screening, 5 to 15 minutes	15	15	$48.00	$14.55
81003 Automated urinalysis test	15	15	$10.00	$2.20
99495 Transitional care management services for problem of at least moderate complexity	12	11	$304.00	$161.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	89	$133.00	$71.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	89	$197.00	$100.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$312.00	$104.16
36415 Insertion of needle into vein for collection of blood sample	67	61	$9.00	$2.96
83036 Hemoglobin A1C level	50	25	$30.00	$9.40
81003 Automated urinalysis test	19	15	$10.00	$2.22
G0008 Administration of influenza virus vaccine	11	11	$66.00	$23.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	225	117	$133.00	$72.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	76	$197.00	$101.90
36415 Insertion of needle into vein for collection of blood sample	77	68	$9.00	$2.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$312.00	$104.25
83036 Hemoglobin A1C level	46	31	$30.00	$9.29
81003 Automated urinalysis test	40	32	$10.00	$2.19
99497 Advance care planning, first 30 minutes	28	28	$163.00	$67.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	11	$66.00	$11.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$197.00	$89.00
99285 Emergency department visit for life threatening or functioning severity	13	12	$1291.15	$145.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$303.00	$134.25
99495 Transitional care management services for problem of at least moderate complexity	11	11	$304.00	$164.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	247	101	$133.00	$60.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	62	$197.00	$87.95
36415 Insertion of needle into vein for collection of blood sample	74	65	$9.00	$2.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$312.00	$93.83
81003 Automated urinalysis test	39	32	$10.00	$2.24
83036 Hemoglobin A1C level	35	18	$30.00	$9.67
G0008 Administration of influenza virus vaccine	15	15	$66.00	$15.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$197.00	$86.46
99285 Emergency department visit for life threatening or functioning severity	13	13	$1219.15	$142.95
90662 Influenza vaccine split virus, preservative free	11	11	$93.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	260	128	$133.00	$58.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	52	$197.00	$86.49
36415 Insertion of needle into vein for collection of blood sample	55	42	$9.00	$2.83
81003 Automated urinalysis test	44	36	$10.00	$2.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$312.00	$92.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$242.00	$103.82
G0008 Administration of influenza virus vaccine	18	18	$66.00	$15.43
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$59.00	$18.65
83036 Hemoglobin A1C level	17	15	$30.00	$10.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$197.00	$85.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	348	196	$133.00	$57.89
81003 Automated urinalysis test	46	34	$10.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	26	$197.00	$85.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$312.00	$92.77
99283 Emergency department visit with low level of medical decision making	15	15	$209.33	$50.08
G0008 Administration of influenza virus vaccine	12	11	$66.00	$18.90
99284 Emergency department visit with moderate level of medical decision making	12	12	$289.00	$94.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$197.00	$85.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	146	$133.00	$57.68
81003 Automated urinalysis test	40	32	$10.00	$2.94
99285 Emergency department visit for life threatening or functioning severity	28	28	$374.36	$139.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	21	$197.00	$85.26
99284 Emergency department visit with moderate level of medical decision making	20	20	$275.70	$94.78

Medical Specialties & State Licenses

CMS Verified: 2025-08-07

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License ID NP-1096A

Definition to come...

Hospital & Practice Group Affiliations

Saint Alphonsus Regional Medical Center Inc

1055 N Curtis Rd, Boise, ID 837061309

Phone: 2083672121

Saint Alphonsus Regional Medical Center Inc

3025 W Cherry Ln, Meridian, ID 836428531

Saint Alphonsus Regional Medical Center Inc

712 Aviation Way, Caldwell, ID 836051154

Phone: 2083021035

Secondary Practice Locations

1906 Fairview Ave, Ste. 230

Caldwell, ID 836055407

Phone: 2084594667

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Merle Keller , MD

Pediatrics

NPI 1265609929

Doctor of Medicine (M.D.)

Dr. Roger Wyatt , MD

Family Medicine

NPI 1326305004

Doctor of Medicine (M.D.)

Christopher Lyons

Pediatrics

NPI 1497493779

Dr. Matthew Brown , MD

Pediatrics

NPI 1508809914

Doctor of Medicine (M.D.)

Dr. Michael Roach , MD

Family Medicine

NPI 1528004389

Doctor of Medicine (M.D.)

Dr. Samuel Summers , MD

Family Medicine

NPI 1649216805

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 07, 2025

Registered at 712 AVIATION WAY, CALDWELL, ID 836051154 (Tel: 2083027100)

👤

Provider Name / Credentials Updated January 28, 2022

Recorded as ROBERT THACKER, APRN CFNP

✅

NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2016

Registered at 1906 FAIRVIEW AVE, STE. 230, CALDWELL, ID 836055407 (Tel: 2084594667)

📍

Updated Business Mailing Address April 06, 2016

Registered at 1906 FAIRVIEW AVE, STE. 230, CALDWELL, ID 836055407 (Tel: 2084594667)

👤

Provider Name / Credentials Updated April 06, 2016

Recorded as ROBERT THACKER, APRN, CFNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Nurse Practitioner (License #NP-1096A in ID)

🟢

Initial NPI Registration & Enumeration September 01, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124309224

Entity Type:

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

Enumeration Date: September 01, 2011

Last Update: August 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1906 Fairview Ave, Ste. 230

Caldwell, ID 836055407

Phone: 2084594667

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.