MS. KIRA BETH SANDON (PA-C) – Physician Assistant, NPI 1104100676

MS. KIRA BETH SANDON (PA-C) is a healthcare provider. based in Hayden, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-1444 (ID). The NPI Number for MS. KIRA BETH SANDON (PA-C) is 1104100676

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIRA BETH SANDON (PA-C)
NPI
1104100676
Phone
(208) 457-4211
Address
8552 N Government Way
Enumeration Date
3 October 2011
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2084574211
Graduation Year
2016 (10 years ago)
PAC ID
6002196003
Group Practice PAC ID
4284947334
Professional Enrollment ID
I20161208002427
Address ID
ID838146190CO1233XCTXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for MS. KIRA BETH SANDON (PA-C)

  • 8552 N Government Way

    Hayden, ID 838359280

    Phone: (208) 457-4211

    Fax: (208) 773-1473

    Type: Location

  • 1233 N NORTHWOOD CENTER CT STE 101

    COEUR D ALENE, ID 838146190

    Phone: (208) 457-4211

    Fax: (208) 773-1473

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $810.

Total Amount is formed as General ($810) + Research ($0) + Ownership ($0) = $810.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Stryker Corporation ($422).

Total Amount

$810

General + Research + Ownership

Payments

22

Total payment records

General Amount

$810

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2016-12-08

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
I20161208002427IPhysician 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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg79669$0
20610Aspiration and/or injection of fluid from large joint13886$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10724$0
99213Established patient office or other outpatient visit, 20-29 minutes10474$0
73562X-ray of knee, 3 views6754$0
View full utilization report →

Insurance plans in this area (ZIP 83835)

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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: 4284947334View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physician AssistantWA
Orthopedic SurgeryMI
-ID
Physical Therapist In Private PracticeID
Orthopedic SurgeryID
-ID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID

Reviews

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Frequently asked questions

What is the standard ID for MS. KIRA BETH SANDON (PA-C) in the U.S.?
In the U.S., MS. KIRA BETH SANDON (PA-C) is identified by NPI 1104100676.
Does the public listing show MS. KIRA BETH SANDON (PA-C) as active?
MS. KIRA BETH SANDON (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits MS. KIRA BETH SANDON (PA-C)?
NPPES ties MS. KIRA BETH SANDON (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MS. KIRA BETH SANDON (PA-C) tied to Hayden, Idaho?
If you are local to Hayden, Idaho, MS. KIRA BETH SANDON (PA-C) may be relevant to your search.
Why is information missing for MS. KIRA BETH SANDON (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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