THOMAS J BYRNE (PA-C) – Physician Assistant, NPI 1164581849
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for THOMAS J BYRNE (PA-C)
109 E HARRISON AVE
COEUR D ALENE, ID 838143238
Phone: (208) 292-0281
Fax: (844) 807-3877
Type: Location
1001 W 2nd Ave
Spokane, WA 992014503
Phone: (509) 444-8200
Type: Location
Hayden Post Office, 109, West Honeysuckle Avenue, Hayden, Kootenai County, Idaho, 83835, United States
HAYDEN, ID 838351387
Phone: (208) 415-0299
Fax: (208) 625-2070
Type: Mailing
109, East Harrison Avenue, Coeur d'Alene, Kootenai County, Idaho, 83814, United States
COEUR D ALENE, ID 838142785
Phone: (208) 292-0281
Fax: (844) 807-3782
Type: Location
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: 2013-03-20
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 |
|---|---|---|---|---|
| I20041015000208 | I | Physician Assistant | WA | TBD |
| I20130320000760 | 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 83814)
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