Doctor profile · Federal record
Dr. Takahisa Koide, PA
Physician Assistant · Nampa, ID
- NPI 1508514456
- Accepts Medicare
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
700 Caldwell Blvd
Nampa, ID 836511707
(208) 466-6567 - Mailing address
-
Po Box 191050
Boise, ID 837191050
Credentials & registration
- NPI registered
- March 2022 — 4 yrs on file
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Idaho #PA-2208
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508514456. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
192
Distinct HCPCS
6
Medicare allowed
$10,887
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 90 | 84 | $71 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $87 | |
87811 |
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 23 | 23 | $41 | |
81002 |
Urinalysis, manual test | 21 | 20 | $3 | |
69209 |
Removal of impacted ear wax by washing | 13 | 13 | $12 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $44 |
In context: peer comparison
Among 22 peers in Nampa Physician Assistant, average services per provider: 90. This provider delivers 2.1× the peer median.Open Payments
Industry payments received
All-time total
$223
Transactions
10
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 3 | $77.69 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 2 | $45.47 | |
| Edwards Lifesciences Corporation | 1 | $27.41 | |
| Ironshore Pharmaceuticals INC. | 1 | $26.81 | |
| Shield Therapeutics INC | 1 | $16.52 | |
| GlaxoSmithKline, LLC. | 1 | $15.34 | |
| Medtronic, INC. | 1 | $14.21 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
79
Patients
75
Total drug cost
$1,176
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 25 | 25 | $285 |
| Cefdinir | Generic | 21 | 18 | $320 |
| Cephalexin | Generic | 18 | 17 | $211 |
| Doxycycline Hyclate | Generic | 15 | 15 | $361 |
Frequently asked questions
What is Dr. Takahisa Koide's medical specialty?
Dr. Takahisa Koide practices Physician Assistant in Nampa, ID.
Where does Dr. Takahisa Koide practice?
Dr. Takahisa Koide practices at 700 Caldwell Blvd, Nampa, ID 836511707. Office phone: 2084666567.
What is Dr. Takahisa Koide's NPI?
Dr. Takahisa Koide's National Provider Identifier (NPI) is 1508514456, issued by NPPES.
Does Dr. Takahisa Koide accept Medicare assignment?
Yes. Dr. Takahisa Koide accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Takahisa Koide commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS 87811). Source: CMS Medicare Physician & Other Practitioners file.