MR. JUSTIN DAVID OVERHOFF (PA-C) – Medical Physician Assistant, NPI 1508331836

MR. JUSTIN DAVID OVERHOFF (PA-C) is a healthcare provider. based in Coeur d alene, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 60899059 (WA). The NPI Number for MR. JUSTIN DAVID OVERHOFF (PA-C) is 1508331836

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUSTIN DAVID OVERHOFF (PA-C)
NPI
1508331836
Phone
(208) 667-0621
Address
980 W IRONWOOD DR STE 104
Enumeration Date
13 October 2018
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097473147
Graduation Year
2018 (8 years ago)
PAC ID
2466792460
Group Practice PAC ID
5991603367
Professional Enrollment ID
I20220606001235
Address ID
WA992022902SP1401XAVEX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for MR. JUSTIN DAVID OVERHOFF (PA-C)

  • 980 W IRONWOOD DR STE 104

    COEUR D ALENE, ID 838142668

    Phone: (208) 667-0621

    Fax: (208) 664-1709

    Type: Mailing

  • 1401 E TRENT AVE # 200

    SPOKANE, WA 992022902

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,825.

Total Amount is formed as General ($1,825) + Research ($0) + Ownership ($0) = $1,825.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($360).

Total Amount

$1,825

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,825

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220606001235IPhysician AssistantWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes298213$0
81002Urinalysis, manual test136116$0
51798Ultrasound measurement of bladder capacity after voiding133109$0
99214Established patient office or other outpatient visit, 30-39 minutes8273$0
99204New patient office or other outpatient visit, 45-59 minutes7676$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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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: 5991603367View full group profile
NameSpecialtyState
Nurse PractitionerWA
U R O L O G YCA
U R O L O G YNC
U R O L O G YTX
U R O L O G YWA
-WA
Physician AssistantWA
Physician AssistantCA
Radiation OncologyWA
Physician AssistantWA

Reviews

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Frequently asked questions

How is MR. JUSTIN DAVID OVERHOFF (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. JUSTIN DAVID OVERHOFF (PA-C) with NPI 1508331836.
Can I rely on MR. JUSTIN DAVID OVERHOFF (PA-C) being an active provider?
As of the registry snapshot, MR. JUSTIN DAVID OVERHOFF (PA-C) is marked active.
What is MR. JUSTIN DAVID OVERHOFF (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for MR. JUSTIN DAVID OVERHOFF (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is MR. JUSTIN DAVID OVERHOFF (PA-C) based?
MR. JUSTIN DAVID OVERHOFF (PA-C) is tied to Coeur D Alene, Idaho in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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