PRESTON BOYD CHRISTENSEN (MD) – Family Medicine Physician, NPI 1376120253

PRESTON BOYD CHRISTENSEN (MD) is a healthcare provider. based in Soda springs, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M-17793 (ID). The NPI Number for PRESTON BOYD CHRISTENSEN (MD) is 1376120253

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PRESTON BOYD CHRISTENSEN (MD)
NPI
1376120253
Phone
(208) 547-2916
Address
300 SOUTH 3RD EAST
Enumeration Date
26 March 2021
Last Update Date
5 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
20854733417503
Graduation Year
2021 (5 years ago)
PAC ID
8820462682
Group Practice PAC ID
7618365701
Professional Enrollment ID
I20250325002920
Address ID
ID832761559SO300XX3RDX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

971 FAMILY PRACTICE in ID

Provider Addresses for PRESTON BOYD CHRISTENSEN (MD)

  • 300 SOUTH 3RD EAST

    SODA SPRINGS, ID 83276

    Phone: (208) 547-2916

    Fax: (208) 547-0439

    Type: Mailing

  • 4403 HARRISON BLVD STE 700A

    OGDEN, UT 844033295

    Phone: (801) 387-5300

    Fax: (801) 387-5333

    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: 2025-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230316002763IFamily PracticeUTTBD
I20250325002920IFamily PracticeIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83276)

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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: 7618365701View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Nurse PractitionerUT
Physician AssistantID
A N E S T H E S I O L O G YNH
N E U R O S U R G E R YID
Orthopedic SurgeryUT
O T O L A R Y N G O L O G YCA
Cardiovascular Disease (Cardiology)ID
General Surgery, Critical Care (Intensivists), Internal MedicineID
Internal Medicine, Pediatric MedicineUT

Reviews

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Frequently asked questions

Can I cross-check PRESTON BOYD CHRISTENSEN (MD) using NPI 1376120253?
NPI 1376120253 belongs to PRESTON BOYD CHRISTENSEN (MD); compare other details if you need extra assurance.
Active or inactive — what applies to PRESTON BOYD CHRISTENSEN (MD)?
You should see PRESTON BOYD CHRISTENSEN (MD) as active in CMS-hosted NPPES data.
How would a patient describe PRESTON BOYD CHRISTENSEN (MD)'s focus?
For PRESTON BOYD CHRISTENSEN (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is PRESTON BOYD CHRISTENSEN (MD) located near Soda Springs?
PRESTON BOYD CHRISTENSEN (MD) currently maps to Soda Springs, Idaho in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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