Mitchell Eric Blume, PA-C, RD, CDE
NPI 1710334248ActiveIndividual· Physician Assistant, Surgical· Boise, ID
Physician Assistant, Surgical (PA-C, RD, CDE) with University of Utah Adult Services and 1 other group, practicing in Boise, Idaho. In 2024 Medicare paid $22,075 for 165 patients, and Part D covered 170 of their prescriptions, 89% of them generic. Lists St Luke's Nampa Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1710334248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, RD, CDE |
| Sole proprietor | No |
| NPI issued | May 13, 2016 |
| Last updated in NPPES | Jun 30, 2022 |
| Certified by provider | Jun 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA-2266 | ID |
| Physician Assistant, Surgical | 363AS0400X | PA-1517 | ID |
| Physician Assistant, Surgical | 363AS0400X | PA60794259 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 165 |
|---|---|
| Services billed | 340 across 12 procedure codes |
| Paid by Medicare | $22,075 |
Part D prescriptions in 2024
| Prescriptions (claims) | 170 · 189 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $7,000 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- University of Utah Adult ServicesFarmington, UT · 1,788 clinicians
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliations
- St Luke's Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, 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, Surgical providers in Boise
- 1447202726
- 1083837942
- 1447534821
- 1780641530
- 1730433319
- 1124377338
- 1295787240
- 1497703730
- 1154414902
- 1861127680
- 1619614385
- 1669002721