ROBERT KINGHORN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104905447

ROBERT KINGHORN (CRNA) is a healthcare provider. based in Twin falls, Idaho. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. N-15840 (ID). The NPI Number for ROBERT KINGHORN (CRNA) is 1104905447

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT KINGHORN (CRNA)
NPI
1104905447
Phone
(208) 734-7362
Address
PO BOX 1657
Enumeration Date
6 November 2006
Last Update Date
16 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087331662
Graduation Year
1986 (40 years ago)
PAC ID
7214196443
Group Practice PAC ID
6204095409
Professional Enrollment ID
I20120320000725
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT KINGHORN (CRNA)

  • PO BOX 1657

    TWIN FALLS, ID 833031657

    Phone: (208) 734-7362

    Fax: (208) 733-9463

    Type: Mailing

  • Sawtooth Surgery Center, 115, Falls Avenue West, Twin Falls, Twin Falls County, Idaho, 83301, United States

    TWIN FALLS, ID 833013115

    Phone: (208) 734-7362

    Fax: (208) 733-9463

    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: 2012-03-20

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
I20120320000725ICertified Registered Nurse Anesthetist (Crna)IDTBD

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
00142Anesthesia for lens surgery204177$0
00140Anesthesia for other procedure on eye5348$0
00103Anesthesia for procedure on eyelid1717$0
View full utilization report →

Insurance plans in this area (ZIP 83303)

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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: 6204095409View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ROBERT KINGHORN (CRNA) in U.S. healthcare records?
The official identifier for ROBERT KINGHORN (CRNA) is NPI 1104905447.
Active or inactive — what applies to ROBERT KINGHORN (CRNA)?
You should see ROBERT KINGHORN (CRNA) as active in CMS-hosted NPPES data.
What expertise is attributed to ROBERT KINGHORN (CRNA)?
ROBERT KINGHORN (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT KINGHORN (CRNA)?
Travel planning: use Twin Falls, Idaho as the reference point for ROBERT KINGHORN (CRNA), then confirm.
When was this NPI issued?
Enumeration for ROBERT KINGHORN (CRNA) is noted as November 6, 2006 where the registry provides it.

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