Jack C. Chaffin Jr., MD
NPI 1104867662ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Boise, ID
Pathology, Anatomic Pathology & Clinical Pathology (MD) in Boise, Idaho, trained at Loma Linda University School of Medicine (class of 1976). Medicare paid $37,869 for services to 596 patients in 2024.
Overview
| NPI | 1104867662 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Oct 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | M8872 | ID |
| Pathology, Cytopathology | 207ZC0500X | M8872 | ID |
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 - Pathology (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 596 |
|---|---|
| Services billed | 1,465 across 31 procedure codes |
| Paid by Medicare | $37,869 |
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 1976 |
| Medicare specialty | Pathology |
Medical group
- Saint Alphonsus Regional Medical Center IncBoise, ID · 680 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
- St. Alphonsus Medical Center - Baker CityBaker City, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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