Doctor profile · Federal record
Dr. KATHLEEN ANNEKE, PA-C
Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · Physician Assistant · Physician Assistant · BOISE, ID
- NPI 1083837942
- Accepts Medicare
- 25 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1072 N LIBERTY ST STE 100
BOISE, ID 837048708
(208) 302-1200
fax (208) 302-1255 - Additional location
-
165 Maa St
Kahului, HI 967323603
(808) 446-7120
fax (808) 446-7121 - Additional location
-
875 S Vanguard Way Ste 200
Meridian, ID 836428542
(208) 463-3000 - Mailing address
-
PO BOX 190930
BOISE, ID 837190930
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- February 27, 2024
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Idaho #PA-378
- Medicaid
- ID #806217300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083837942. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
95
Distinct HCPCS
3
Medicare allowed
$9,229
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 45 | 35 | $100 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 26 | $71 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $130 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 47. This provider delivers 2.0× the peer median.Open Payments
Industry payments received
All-time total
$68
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 1 | $21.74 | |
| Exeltis, USA Inc. | 1 | $19.22 | |
| Ethicon US, LLC | 1 | $13.80 | |
| ABBVIE INC. | 1 | $13.73 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
229
Patients
120
Total drug cost
$18,458
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 119 | 58 | $15,666 |
| Fluconazole | Generic | 30 | 22 | $296 |
| Clotrimazole-Betamethasone (Clotrimazole/Betamethasone Dip) | Brand | 18 | 14 | $352 |
| Progesterone (Progesterone, Micronized) | Brand | 18 | 0 | $1,432 |
| Metronidazole | Generic | 16 | 14 | $369 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 14 | 12 | $216 |
| Omeprazole | Generic | 14 | 0 | $127 |