JOHN URRUTIA (P.A.C) – Medical Physician Assistant, NPI 1831290097

JOHN URRUTIA (P.A.C) is a healthcare provider. based in Twin falls, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C. They hold a License No. PA336 (ID). The NPI Number for JOHN URRUTIA (P.A.C) is 1831290097

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JOHN URRUTIA (P.A.C)
NPI
1831290097
Phone
(208) 733-3181
Address
176 FALLS AVENUE
Enumeration Date
26 September 2006
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088147900
Graduation Year
2000 (26 years ago)
PAC ID
0941113278
Group Practice PAC ID
1052217478
Professional Enrollment ID
I20040218001039
Address ID
ID833015022TW228XXWXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

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Provider Addresses for JOHN URRUTIA (P.A.C)

  • 176, Falls Avenue, Twin Falls, Twin Falls County, Idaho, 83301, United States

    TWIN FALLS, ID 83301

    Phone: (208) 733-3181

    Fax: (208) 733-3168

    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 57 Open Payments records for all available years, with a total value of $1,308.

Total Amount is formed as General ($1,308) + Research ($0) + Ownership ($0) = $1,308.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($617).

Total Amount

$1,308

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2004-02-18

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
I20040218001039IPhysician AssistantIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes53387$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms18476$0
80307Testing for presence of drug, by chemistry analyzers18476$0
99213Established patient office or other outpatient visit, 20-29 minutes9132$0
80305Testing for presence of drug, read by direct observation6655$0
View full utilization report →

Insurance plans in this area (ZIP 83301)

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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: 1052217478View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)ID
Clinical PsychologistND
A N E S T H E S I O L O G YID
-UT
Diagnostic RadiologyOR
Physician AssistantID
Family PracticeID
O B S T E T R I C S/ G Y N E C O L O G YID
Nurse PractitionerID

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN URRUTIA (P.A.C)?
JOHN URRUTIA (P.A.C) — NPI 1831290097 — is the standard way to identify this listing.
Can I rely on JOHN URRUTIA (P.A.C) being an active provider?
As of the registry snapshot, JOHN URRUTIA (P.A.C) is marked active.
What is JOHN URRUTIA (P.A.C) best known for clinically?
Directory data describes JOHN URRUTIA (P.A.C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JOHN URRUTIA (P.A.C) list a practice location?
Patients near Twin Falls, Idaho may find JOHN URRUTIA (P.A.C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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