Kim Wilson, PA-C
NPI 1073982245ActiveIndividual· Physician Assistant, Surgical· Boise, ID
Physician Assistant, Surgical (PA-C) with Saint Alphonsus Regional Medical Center Inc and 2 other groups, practicing in Boise, Idaho. Mostly services rather than prescriptions: Medicare paid $22,099 for 239 patients in 2024, with only 23 Part D claims. Penumbra, Inc. reported $33.93 in payments in 2025, mostly food and beverage. Lists Saint Alphonsus Medical Center - Nampa and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1073982245 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 17, 2015 |
| Last updated in NPPES | Nov 25, 2025 |
| Certified by provider | Nov 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA1456 | ID |
| Physician Assistant, Surgical | 363AS0400X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 Practitioner - Physician Assistant (ID); Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 239 |
|---|---|
| Services billed | 484 across 61 procedure codes |
| Paid by Medicare | $22,099 |
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 23 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $692.15 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Saint Alphonsus Regional Medical Center IncBoise, ID · 680 clinicians
- Gem State Radiology LLPBoise, ID · 73 clinicians
- Direct Orthopedic Care LLCNampa, ID · 33 clinicians
Hospital affiliations
- Saint Alphonsus Medical Center - NampaNampa, ID
- Saint Alphonsus Medical Center OntarioOntario, OR
- Saint Alphonsus Regional Medical CenterBoise, ID
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2025$33.93 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $33.93 | 1 |
What the 2025 payments were for
- Food and Beverage$33.93 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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