NPI: 1548597255 · IDAHO FALLS, ID 83404 · Rheumatology Physician · NPI assigned 11/17/2009
| Authorized Official | SCOVILLE, CRAIG (OWNER) |
| NPI Enumeration Date | 11/17/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $636.28 |
| 2020 | 12 | $936.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99215 | Prolong outpt/office vis | 24 | 24 | $2K |