Skip to content

Davis Payne Gibbons, PA

NPI 1487485314ActiveIndividual· Physician Assistant· Burley, ID

Physician Assistant (PA) in Burley, Idaho, licensed in ID, with an NPI issued in August 2024.

Overview

NPI1487485314
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedAug 12, 2024
Last updated in NPPESSep 25, 2026
Certified by providerSep 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5481432ID

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other Physician Assistant providers in Burley

All Physician Assistant providers in Idaho →