DR. JAMES G JR. SACCOMANDO (MD, PC) – Child & Adolescent Psychiatry Physician, NPI 1487602330
Child & Adolescent Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
129 PSYCHIATRY in ID
Provider Addresses for DR. JAMES G JR. SACCOMANDO (MD, PC)
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Phone: (208) 625-4870
Fax: (208) 625-4878
Type: Location
1800 E Park Ave
State College, PA 168036701
Phone: (814) 231-7000
Fax: (814) 238-0790
Type: Location
2301 N Ironwood Pl
Coeur D Alene, ID 838142696
Phone: (208) 625-4820
Type: Location
1717 Arlington Ave
Caldwell, ID 836054802
Phone: (208) 459-4641
Type: Location
2811 Tieton Dr
Yakima, WA 989023761
Phone: (509) 575-8000
Type: Location
131 N Allumbaugh St
Boise, ID 837049204
Phone: (208) 367-2256
Type: Location
1423 W Franklin St
Boise, ID 837025024
Phone: (208) 345-2212
Fax: (208) 345-2282
Type: Location
3115 Medical Dr
Caldwell, ID 836056972
Phone: (208) 453-8668
Type: Location
401 GRESHAM DR
NORFOLK, VA 23507
Phone: (757) 668-7000
Type: Location
3916 N POTSDAM AVE # 61
SIOUX FALLS, SD 571047048
Phone: (208) 866-8330
Fax: (208) 213-1542
Type: Mailing
1423, West Franklin Street, West Downtown, North End, Boise, Ada County, Idaho, 83702, United States
STE 101
BOISE, ID 837025024
Phone: (208) 345-2212
Fax: (208) 345-2282
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: 2025-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20220127002360 | I | Psychiatry | MT | TBD |
| I20240208003822 | I | Psychiatry | PA | TBD |
| I20250225003467 | I | Psychiatry | WA | 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 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| Internal Medicine | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Emergency Medicine | WA | |
| - | WA | |
| Family Practice | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WI |
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