DR. TRAVIS CLYDE (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1457700262
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
971 FAMILY PRACTICE in ID
Provider Addresses for DR. TRAVIS CLYDE (M.D.)
465 Memorial Dr
Pocatello, ID 832014008
Phone: (208) 234-4700
Fax: (208) 282-4696
Type: Location
301 Cedar St
Orofino, ID 835449029
Phone: (208) 476-5777
Fax: (208) 476-5385
Type: Location
East Goldstone Drive, Meridian, Ada County, Idaho, 83709, United States
MERIDIAN, ID 836421026
Phone: (208) 302-5900
Fax: (208) 302-5955
Type: Mailing
West Lake Hazel Road, Boise, Ada County, Idaho, 83709, United States
BOISE, ID 837096326
Phone: (208) 302-5950
Fax: (208) 302-5955
Type: Location
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 302-9342
Fax: (208) 367-5180
Type: Mailing
3025 W CHERRY LN STE 205
MERIDIAN, ID 836428530
Phone: (208) 302-3500
Fax: (208) 302-3555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $280.
Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($77).
Total Amount
$280
General + Research + Ownership
Payments
16
Total payment records
General Amount
$280
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $77 |
| Novo Nordisk Inc | $33 |
| Astellas Pharma US Inc | $28 |
| SANOFI PASTEUR INC. | $26 |
| Abbott Laboratories | $22 |
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: 2019-11-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180727002448 | I | Family Practice | ID | TBD |
| I20191109000094 | I | Sports Medicine | UT | 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 | 260 | 164 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 79 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 58 | 58 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 49 | 29 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 28 | 23 | $0 |
Insurance plans in this area (ZIP 83201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | ID |
Reviews
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