Teton Surgical Specialties PLLC
NPI 1043779127ActiveOrganization· Surgery, Surgery of the Hand· Idaho Falls, ID
Surgery, Surgery of the Hand in Idaho Falls, Idaho, registered in NPPES in March 2019. The authorized official on file is Bruce James Watkins, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043779127 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2019 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Surgery of the Hand Primary | 2086S0105X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Surgery, Surgery of the Hand providers in Idaho Falls
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