Tara Marie Davidson, MD
NPI 1164085452ActiveIndividual· Internal Medicine· Boise, ID
Internal Medicine (MD) with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. Part D covered 27 prescriptions written in 2024, 89% of them generic. Lilly USA, LLC reported $101.43 in payments in 2025, mostly education. Lists St Luke's Elmore Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1164085452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 22, 2019 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | U2470 | TX |
| Internal Medicine | 207R00000X | 67727 | MN |
| Internal Medicine, Medical Oncology | 207RX0202X | 7271557 | ID |
| Internal Medicine | 207R00000X | 30238 | MN |
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 - Internal Medicine (ID) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 27 · 33 30-day fills |
|---|---|
| Total drug cost | $4,086 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliations
- St Luke's Elmore Medical CenterMountain Home, ID
- St Luke's McCallMcCall, ID
- St Luke's Regional Medical CenterBoise, ID
- St Luke's Wood River Medical CenterKetchum, ID
- St Lukes Magic Valley Medical CenterTwin Falls, ID
Industry payments (Open Payments)
- 2025$101.43 · 1 payment from 1 company
- 2024$195.20 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $101.43 | 1 |
What the 2025 payments were for
- Education$101.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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