Active NPI 1699842021 Individual Practitioner Female Practitioner

Marlo Pichardo , PA-C

Physician Assistant • Eagle, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marlo Pichardo, PA-C is a certified Physician Assistant practicing in Eagle, ID. With approximately 27 years of clinical experience since completing medical education in 1999, Marlo Pichardo delivers high-quality medical care to the local community at 408 S EAGLE RD STE 205.

Marlo Pichardo is affiliated with Momentum Medical Group Of Idaho Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

408 S Eagle Rd Ste 205

Eagle, ID 836166079

Telephone 2087408797

Fax 5302370772

Associated Practice Facility / Clinic

🏢 Shadow Pines Health & Wellness Llc Facility NPI 1851094619

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eagle, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +11.6 yrs vs City Avg

City Avg: 15.4 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

23 Specialists

Practicing in Eagle, ID (1261 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pichardo (27 Years) 27 Yrs

Eagle Specialty Average (15.4 Years) 15.4 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	19	$171.00	$83.22
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	28	17	$237.00	$99.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	128	43	$171.00	$84.02
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	123	31	$237.00	$100.63
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$211.30	$71.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	91	$211.96	$71.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	50	44	$124.59	$50.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$262.44	$87.50
81002 Urinalysis, manual test	24	24	$16.30	$3.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	21	$53.41	$17.87
0064A Adm sarscov2 50mcg/0.25mlbst	16	16	$40.00	$31.18
G0008 Administration of influenza virus vaccine	14	13	$40.00	$23.08
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	13	$130.00	$70.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$311.43	$101.65
71046 X-ray of chest, 2 views	13	13	$79.33	$20.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$43.29	$11.14
0134A Fee covid-19 vac 14 res	11	11	$40.00	$30.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0013A Adm sarscov2 100mcg/0.5ml3rd	133	133	$40.00	$31.22
99213 Established patient office or other outpatient visit, typically 15 minutes	58	58	$238.84	$72.30
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	42	42	$100.00	$51.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$339.57	$102.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$292.33	$88.58
81002 Urinalysis, manual test	23	23	$9.57	$3.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$148.83	$44.27
0003A Adm sarscov2 30mcg/0.3ml 3rd	21	21	$40.00	$31.10
0011A Adm sarscov2 100mcg/0.5ml1st	20	20	$40.00	$31.37
71046 X-ray of chest, 2 views	19	18	$59.89	$20.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$439.37	$133.02
0012A Adm sarscov2 100mcg/0.5ml2nd	12	12	$40.00	$31.10
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$189.84	$57.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	102	$206.73	$63.20
72100 X-ray of lower and sacral spine, 2-3 views	47	47	$206.40	$31.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$420.04	$90.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$662.80	$140.67
72070 X-ray of middle spine, 2 views	15	14	$200.28	$24.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$116.66	$36.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	179	$207.56	$62.07
72100 X-ray of lower and sacral spine, 2-3 views	87	81	$206.40	$29.75
J1885 Injection, ketorolac tromethamine, per 15 mg	78	20	$3.24	$0.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$662.80	$139.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$430.76	$91.65
J1040 Injection, methylprednisolone acetate, 80 mg	23	22	$41.07	$11.33
72070 X-ray of middle spine, 2 views	21	18	$200.28	$28.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	20	$100.44	$12.80
72040 X-ray of upper spine, 2-3 views	18	18	$196.14	$29.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	46	46	$827.00	$55.59
99285 Emergency department visit for life threatening or functioning severity	39	38	$1793.00	$155.65
99284 Emergency department visit with moderate level of medical decision making	25	24	$1221.00	$105.05
99281 Emergency department visit for problem that may not require health care professional	16	16	$80.00	$18.99

Medical Specialties & State Licenses

CMS Verified: 2026-02-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-1898

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9102903

Hospital & Practice Group Affiliations

Momentum Medical Group Of Idaho Llc

215 E Hawaii Ave, Nampa, ID 836866011

Phone: 2084685920

Practice Associates & Co-Workers

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

5 Associated Practitioners

Spring Bean , RD

Dietitian, Registered

NPI 1053640268

Registered Dietitian

Joslyn Sciarrino , FNP-C

Nurse Practitioner - Family

NPI 1194275693

Family Nurse Practitioner (Certified)

Megan Ebel , LPC

Counselor - Professional

NPI 1477321362

Licensed Professional Counselor

Heather Glaza , LCPC

Counselor - Mental Health

NPI 1750438388

Licensed Clinical Professional Counselor

Dr. Laura Mcdermott , MD

Pediatrics

NPI 1942596606

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events

📍

Updated Practice Location February 13, 2026

Registered at 408 S EAGLE RD STE 205, EAGLE, ID 836166079 (Tel: 2087408797)

📍

Updated Business Mailing Address February 13, 2026

Registered at 408 S EAGLE RD STE 205, EAGLE, ID 836166079 (Tel: 2087408797)

📍

Updated Practice Location August 20, 2024

Registered at 2757 S GOSHEN WAY, BOISE, ID 837098506 (Tel: 2087408797)

📍

Updated Business Mailing Address August 20, 2024

Registered at 2757 S GOSHEN WAY, BOISE, ID 837098506 (Tel: 0874087972)

📍

Updated Practice Location May 16, 2023

Registered at 900 N HAPPY VALLEY RD, NAMPA, ID 836878596 (Tel: 2082060261)

📍

Updated Practice Location April 21, 2023

Registered at 404 N HORTON ST, NAMPA, ID 836516541 (Tel: 2084669292)

📍

Updated Business Mailing Address April 21, 2023

Registered at 404 N HORTON ST, NAMPA, ID 836516541 (Tel: 2084669292)

📍

Updated Practice Location July 22, 2020

Registered at 215 E HAWAII AVE, NAMPA, ID 836866011 (Tel: 2084633000)

📍

Updated Business Mailing Address July 22, 2020

Registered at 215 E HAWAII AVE, NAMPA, ID 836866011 (Tel: 2084633244)

👤

Provider Name / Credentials Updated July 22, 2020

Recorded as MARLO PICHARDO, PAC

📍

Updated Business Mailing Address January 21, 2019

Registered at 2222 S HARBOR CITY BLVD STE 610, MELBOURNE, FL 329015591 (Tel: 3217237716)

📍

Updated Practice Location November 12, 2018

Registered at 2222 S HARBOR CITY BLVD STE 610, MELBOURNE, FL 329015591 (Tel: 3217237716)

✅

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2016

Registered at 2080 W EAU GALLIE BLVD, SUITE A, MELBOURNE, FL 329353185 (Tel: 3212546218)

📍

Updated Business Mailing Address October 17, 2016

Registered at 2080 W EAU GALLIE BLVD, SUITE A, MELBOURNE, FL 329353185 (Tel: 3212546218)

👤

Provider Name / Credentials Updated October 17, 2016

Recorded as MARLO SMITH, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Physician Assistant (License #PA9102903 in FL)

🟢

Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699842021

Entity Type:

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

Enumeration Date: November 29, 2006

Last Update: February 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

408 S Eagle Rd Ste 205

Eagle, ID 836166079

Phone: 2087408797

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.