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Deactivated NPI 1386299261 Deactivated / Inactive NPI Female Practitioner

Halima Archer-Idodo , PA-C

Physician Assistant • Waco, TX

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Halima Archer-Idodo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2019
NPI Deactivation Date January 25, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Halima Archer-Idodo, PA-C was a registered Physician Assistant practicing in Waco, TX. Throughout an active medical career spanning 1 years, Halima Archer-Idodo provided care at the practice location at 7700 FISH POND RD until profile deactivation on 2023-01-25.

Halima Archer-Idodo was affiliated with Scott And White Clinic and accepted Medicare assignment.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7700 Fish Pond Rd

Waco, TX 767101031

Telephone 2547614444
Fax 2547614441
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waco, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -8.3 yrs vs City Avg
City Avg: 12.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
66 Specialists

Practicing in Waco, TX (11140 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Archer-Idodo (4 Years) 4 Yrs
Waco Specialty Average (12.3 Years) 12.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
745 105 $20.00 $1.62
99213 Established patient office or other outpatient visit, typically 15 minutes
189 171 $142.00 $52.72
17000 Destruction of skin growth
151 127 $237.00 $39.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
100 87 $209.00 $79.06
11102 Tangential biopsy of single skin lesion
99 84 $303.00 $23.27
17110 Destruction of up to 14 skin growths
80 73 $324.00 $54.55
11103 Biopsy of related skin growth, each additional growth
45 26 $95.00 $17.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 25 $85.00 $28.70
17004 Destruction of precancer skin growth, 15 or more growths
24 21 $495.00 $79.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $210.00 $66.74

Medical Specialties & State Licenses

CMS Verified: 2023-08-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA16471

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.

Hospital & Practice Group Affiliations

Scott And White Clinic

810 W U Ave, Temple, TX 765080001

Phone: 2547242585

Scott And White Clinic

1605 S 31st St, Temple, TX 765080001

Phone: 2542150100

Scott And White Clinic

7700 Fish Pond Rd, Waco, TX 767101031

Phone: 2547614444

Scott And White Clinic

2401 S 31st St, Temple, TX 765080001

Phone: 2547242459

Scott And White Clinic

2401 S 31st St Bldg, Temple, TX 765080001

Phone: 2547242663

Secondary Practice Locations

301 University Blvd

Galveston, TX 775550569

Phone: 4093138771

Practice Associates & Co-Workers

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

32 Associated Practitioners
Ashley Aaron , FNP

Nurse Practitioner - Family

NPI 1053821504

Family Nurse Practitioner

Sarah Archer , PA-C

Physician Assistant - Medical

NPI 1073201216

Physician Assistant (Certified)

Natalie Newman , PA-C

Physician Assistant

NPI 1104808658

Physician Assistant (Certified)

Jacquelyn Brewer , PA-C

Physician Assistant

NPI 1184513392

Physician Assistant (Certified)

Dr. Gregg Goebel , MD

Family Medicine

NPI 1194784439

Doctor of Medicine (M.D.)

Dr. Brian Battles , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1194790303

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location August 11, 2023

Registered at 7700 FISH POND RD, WACO, TX 767101031 (Tel: 2547614444)

📍
Updated Business Mailing Address August 11, 2023

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547242111)

🔄
NPI Profile Reactivated February 07, 2023

Record officially reactivated for active practice on February 07, 2023

📍
Updated Practice Location February 07, 2023

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775550569 (Tel: 4093138771)

📍
Updated Business Mailing Address February 07, 2023

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775550569

👤
Provider Name / Credentials Updated February 07, 2023

Recorded as HALIMA ARCHER-IDODO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2023

Physician Assistant (License #PA16471 in TX)

⚠️
NPI Profile Deactivated January 25, 2023

Record deactivated on January 25, 2023

NPI Profile Active August 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2484364400)

📍
Updated Business Mailing Address August 07, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326

👤
Provider Name / Credentials Updated August 07, 2019

Recorded as HALIMA ARCHER-IDODO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration August 07, 2019

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: 1386299261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2019
Last Update: August 11, 2023
Deactivation Date: January 25, 2023
Sole Proprietor: No

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 2547242111

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.