MR. JEREMY DALLEY (PA-C) – Physician Assistant, NPI 1306273552
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for MR. JEREMY DALLEY (PA-C)
1411 FILLMORE ST
TWIN FALLS, ID 833013343
Phone: (208) 933-4400
Type: Location
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $727.
Total Amount is formed as General ($727) + Research ($0) + Ownership ($0) = $727.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($317).
Total Amount
$727
General + Research + Ownership
Payments
36
Total payment records
General Amount
$727
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $317 |
| AstraZeneca Pharmaceuticals LP | $111 |
| Lilly USA, LLC | $80 |
| Novo Nordisk Inc | $60 |
| Exact Sciences Corporation | $28 |
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: 2016-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160608000880 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 194 | 101 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 101 | 69 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 70 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 44 | $0 |
| 99497 | Advance care planning, first 30 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 83301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CT | |
| Nurse Practitioner | ID | |
| Physician Assistant | WA | |
| - | ID | |
| Physician Assistant | FL | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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