JON L HLAVINKA (M.D.) – Family Medicine Physician, NPI 1194715136
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for JON L HLAVINKA (M.D.)
5865 W Hidden Springs Dr
Boise, ID 837149464
Phone: (208) 342-7400
Fax: (208) 342-1879
Type: Location
217, West Georgia Avenue, Nampa, Canyon County, Idaho, 83686, United States
SUITE 115
NAMPA, ID 836866811
Phone: (208) 463-3244
Fax: (208) 463-3034
Type: Mailing
Saltzer Medical Group, 215, East Hawaii Avenue, Nampa, Canyon County, Idaho, 83686, United States
NAMPA, ID 836866011
Phone: (208) 463-3244
Fax: (208) 463-3034
Type: Location
300 E BANNOCK ST
BOISE, ID 837126207
Phone: (208) 342-7400
Fax: (208) 342-7400
Type: Location
215 E HAWAII AVE STE 115
NAMPA, ID 836866011
Phone: (208) 463-3000
Type: Mailing
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: 2004-09-09
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 |
|---|---|---|---|---|
| I20040909000058 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| - | ID | |
| Hospitalist, Internal Medicine | WI | |
| Physician Assistant | AR | |
| Family Practice | ID | |
| - | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Family Practice, Hospitalist | ID | |
| Family Practice | CA |
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