IRIS PETER (PA-C) – Medical Physician Assistant, NPI 1669060562
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for IRIS PETER (PA-C)
1550 ELK CREEK DR
IDAHO FALLS, ID 834048322
Phone: (208) 529-5942
Fax: (208) 529-5951
Type: Mailing
4646 Brockton Ave Ste 202
Riverside, CA 925060104
Phone: (951) 774-2942
Fax: (951) 774-2945
Type: Location
4646 BROCKTON AVE STE 202
RIVERSIDE, CA 925060104
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $423.
Total Amount is formed as General ($423) + Research ($0) + Ownership ($0) = $423.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Astellas Pharma US Inc ($67).
Total Amount
$423
General + Research + Ownership
Payments
19
Total payment records
General Amount
$423
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-10-23
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 |
|---|---|---|---|---|
| I20220413000089 | I | Physician Assistant | CA | TBD |
| I20231023000583 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Obstetrics/Gynecology, Osteopathic Manipulative Medicine | ID | |
| Physician Assistant | ID |
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