LUCAS P BELFORD (PA) – Physician Assistant, NPI 1104394337
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for LUCAS P BELFORD (PA)
2886, East Fern Brook Drive, Eagle, Ada County, Idaho, 83616, United States
EAGLE, ID 836166602
Phone: (208) 999-0149
Type: Mailing
909 E RESERVE ST
BOISE, ID 837126508
Phone: (502) 544-1780
Type: Mailing
State Hospital South, 700, East Alice Street, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832214925
Phone: (208) 785-1200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-05-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200515000862 | I | Physician Assistant | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 366 | 196 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 103 | 65 | $0 |
Insurance plans in this area (ZIP 83616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | ID | |
| Physician Assistant | ID | |
| Hospitalist, Family Practice | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| - | ID |
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