RAMON ADDISON RELYEA (PA-C) – Medical Physician Assistant, NPI 1972805943
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RAMON ADDISON RELYEA (PA-C)
3224 N MAPLE GROVE RD
BOISE, ID 837044214
Phone: (208) 888-3358
Type: Location
96 E KIMBALLS LN STE 407
DRAPER, UT 840205021
Phone: (530) 520-7796
Type: Location
PO BOX 191050
BOISE, ID 837191050
Phone: (208) 955-6522
Fax: (208) 955-6503
Type: Mailing
700 CALDWELL BLVD
NAMPA, ID 836511707
Phone: (208) 466-6567
Fax: (208) 466-7922
Type: Location
2301 E SADIE DR
EAGLE, ID 836165409
Phone: (530) 520-7796
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: 2013-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130925000517 | 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 83704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 11 | 11 |
Group practice members
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| Physician Assistant | ID | |
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