Shelby Kaitlyn Gibbons, PA-C
NPI 1265009781ActiveIndividual· Physician Assistant, Surgical· Boise, ID
Physician Assistant, Surgical (PA-C) with St Lukes Clinic-Treasure Valley LLC and 1 other group, practicing in Boise, Idaho. 165 Medicare patients in 2024, $14,031 paid; nearly all of their 73 Part D prescriptions were generic (99%). Depuy Synthes Sales Inc. reported $113.45 in payments in 2025, mostly food and beverage. Lists St Luke's Nampa Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1265009781 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 4, 2021 |
| Last updated in NPPES | May 8, 2024 |
| Certified by provider | Apr 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA-2723 | ID |
| Physician Assistant, Surgical | 363AS0400X | PA61349330 | WA |
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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 165 |
|---|---|
| Services billed | 308 across 44 procedure codes |
| Paid by Medicare | $14,031 |
Part D prescriptions in 2024
| Prescriptions (claims) | 73 · 79 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $1,320 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
- Direct Orthopedic Care LLCNampa, ID · 33 clinicians
Hospital affiliations
- St Luke's Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2025$113.45 · 1 payment from 1 company
- 2024$62.00 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $113.45 | 1 |
What the 2025 payments were for
- Food and Beverage$113.45 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 surgical physician assistants in Boise · All surgical physician assistants in Idaho