John Douglas Trueblood, PAC
NPI 1629047931ActiveIndividual· Physician Assistant· Cottonwood, ID
Physician Assistant (PAC) with St Marys Hospital Inc, practicing in Cottonwood, Idaho. Their prescriptions cost Medicare Part D more than their services did: $1,015,532 for 8,762 claims, against $15,024 paid for services in 2024. Lists St Joseph Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1629047931 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Mar 17, 2006 |
| Last updated in NPPES | Aug 16, 2023 |
| Certified by provider | Aug 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA1623 | ID |
| Physician Assistant | 363A00000X | PA16906 | CA |
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 | 93 |
|---|---|
| Services billed | 240 across 20 procedure codes |
| Paid by Medicare | $15,024 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,762 · 12,164 30-day fills |
|---|---|
| Patients | 349 |
| Total drug cost | $1,015,532 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Marys Hospital IncCottonwood, ID · 20 clinicians
Hospital affiliations
- St Joseph Regional Medical CenterLewiston, ID
- St Mary's HospitalCottonwood, ID
Other facilities
- Syringa General Hospital HospiceHospice · Grangeville, ID
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 Cottonwood
- 1417952862