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
| NPI | 1134769367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 15, 2020 |
| Last updated in NPPES | Feb 24, 2025 |
| Certified by provider | Feb 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-2721 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 45 across 21 procedure codes |
| Paid by Medicare | $2,669 |
Part D prescriptions in 2024
| Prescriptions (claims) | 135 · 273 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $16,177 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Acute Care Surgery Medical Group IncTwin Falls, ID · 204 clinicians
- Urgent Care of Idaho LLCJerome, ID · 16 clinicians
Hospital affiliation
- St Lukes Magic Valley Medical CenterTwin Falls, ID
Industry payments (Open Payments)
- 2025$20.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $20.00 | 1 |
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
- 1619365707
- 1649780727
- 1821579012
- 1982033395
- 1922615848
- 1487485314
- 1205587847
- 1730994484
- 1912637042
- 1477902161
- 1285855270
- 1245581487