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Active NPI 1992794929 Individual Practitioner Male Practitioner

Preston S Smith , PA-C

Physician Assistant • Nampa, ID

Professional Overview & Biography Verified Profile Summary

Preston Smith, PA-C is a certified Physician Assistant practicing in Nampa, ID. With approximately 23 years of clinical experience since completing medical education in 2003, Preston Smith delivers high-quality medical care to the local community at 215 E HAWAII AVE.

Preston Smith is affiliated with Ada Dermatology P A and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include 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

215 E Hawaii Ave

Nampa, ID 836866011

Telephone 2084685930
Fax 2084633044
Associated Practice Facility / Clinic
🏢 Saltzer Medical Group, Pa Facility NPI 1376574442

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nampa, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +13.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
96 Specialists

Practicing in Nampa, ID (1261 Statewide)

Telehealth Adoption Rate
13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (23 Years) 23 Yrs
Nampa Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $139.32 $58.95

Medical Specialties & State Licenses

CMS Verified: 2023-11-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA464

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
806749400 (ID)
Commercial Insurance / Payer ID Blue Shield
000010145450 (ID)
Commercial Insurance / Payer ID Blue Cross
DAGV3 (ID)
Commercial Insurance / Payer ID Blue Shield
000010145449 (ID)
Commercial Insurance / Payer ID Blue Cross
PAG001 (ID)
Commercial Insurance / Payer ID Railroad Medicare
P00160006 (ID)

Hospital & Practice Group Affiliations

Ada Dermatology P A

6454 W Emerald St, Boise, ID 837048734

Phone: 2083770820

Secondary Practice Locations

500 W. Fort St., # 111

Boise, ID 83702

Phone: 2084221000

Practice Associates & Co-Workers

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

33 Associated Practitioners
NPI 1013906049

Doctor of Medicine (M.D.)

Dr. Michael Dee , MD

Internal Medicine

NPI 1053302182

Doctor of Medicine (M.D.)

NPI 1154311199

Doctor of Medicine (M.D.)

NPI 1154311892

Doctor of Medicine (M.D.)

NPI 1225028632

Doctor of Medicine (M.D.)

Michelle Bjornson , OT

Occupational Therapist

NPI 1255321246

Occupational Therapist

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address November 01, 2023

Registered at 215 E HAWAII AVE, NAMPA, ID 836866011

NPI Profile Active February 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2013

Registered at 215 E HAWAII AVE, NAMPA, ID 836866011 (Tel: 2084685930)

📍
Updated Business Mailing Address February 14, 2013

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083812222)

👤
Provider Name / Credentials Updated February 14, 2013

Recorded as PRESTON SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2013

Physician Assistant (License #PA464 in ID)

🟢
Initial NPI Registration & Enumeration October 21, 2005

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: 1992794929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2005
Last Update: November 01, 2023
Sole Proprietor: No

Mailing Address

215 E Hawaii Ave

Nampa, ID 836866011

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.