KODY KURTIS TEW (PA-C) – Medical Physician Assistant, NPI 1760724744
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,546 PHYSICIAN ASSISTANT in ID
Provider Addresses for KODY KURTIS TEW (PA-C)
2088 E 25TH ST
IDAHO FALLS, ID 834046490
Phone: (208) 528-7655
Fax: (208) 524-9390
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $508.
Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($487).
Total Amount
$508
General + Research + Ownership
Payments
31
Total payment records
General Amount
$508
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $487 |
| Corium, LLC | $20 |
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: 2013-06-19
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130619000181 | 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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 20610 | Aspiration and/or injection of large joint or joint capsule | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Family Practice | TX | |
| Physician Assistant | AZ |
Reviews
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