JOHN TODD ALLEN (PA-C) – Physician Assistant, NPI 1003168899

JOHN TODD ALLEN (PA-C) is a healthcare provider. based in Blackfoot, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-999 (ID). The NPI Number for JOHN TODD ALLEN (PA-C) is 1003168899

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JOHN TODD ALLEN (PA-C)
NPI
1003168899
Phone
(208) 785-1200
Address
700 E ALICE ST
Enumeration Date
4 October 2012
Last Update Date
4 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082371711
Graduation Year
2012 (14 years ago)
PAC ID
9830349836
Group Practice PAC ID
6709165442
Professional Enrollment ID
I20121029000683
Address ID
ID832025055CH265XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for JOHN TODD ALLEN (PA-C)

  • 700 E ALICE ST

    BLACKFOOT, ID 832214925

    Phone: (208) 785-1200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($15).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121029000683IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4218$0
View full utilization report →

Insurance plans in this area (ZIP 83221)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709165442View full group profile
NameSpecialtyState
Mental Health CounselorID
Mental Health CounselorID
Mental Health CounselorID
Clinical Social WorkerID
Clinical Social WorkerID
Mental Health CounselorID
Clinical Social WorkerID
Mental Health CounselorID
Mental Health CounselorID
Mental Health CounselorOR

Reviews

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Frequently asked questions

Can I verify JOHN TODD ALLEN (PA-C) with an NPI only?
You can start verification with NPI 1003168899 for JOHN TODD ALLEN (PA-C), then check state licensing separately.
Is JOHN TODD ALLEN (PA-C) still practicing?
JOHN TODD ALLEN (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN TODD ALLEN (PA-C)?
For research purposes, treat JOHN TODD ALLEN (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN TODD ALLEN (PA-C) on a map?
Expect Blackfoot, Idaho as a primary anchor for JOHN TODD ALLEN (PA-C) unless the record lists multiple sites.
Is the information about JOHN TODD ALLEN (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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