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Henry Rainbolt III, PA-C

NPI 1134769367ActiveIndividual· Physician Assistant· Burley, ID

Physician Assistant (PA-C) with Acute Care Surgery Medical Group Inc and 1 other group, practicing in Burley, Idaho. Their prescriptions cost Medicare Part D more than their services did: $16,177 for 135 claims, against $2,669 paid for services in 2024. Boston Scientific Corporation reported $20.00 in payments in 2025, mostly food and beverage. Lists St Lukes Magic Valley Medical Center as a hospital affiliation.

Overview

NPI1134769367
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJan 15, 2020
Last updated in NPPESFeb 24, 2025
Certified by providerFeb 5, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA-2721ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (ID)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients32
Services billed45 across 21 procedure codes
Paid by Medicare$2,669

Part D prescriptions in 2024

Prescriptions (claims)135 · 273 30-day fills
Patients63
Total drug cost$16,177
Generic share81% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$20.00 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Boston Scientific Corporation$20.001

What the 2025 payments were for

  • Food and Beverage$20.00 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Burley

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