Jackie B. Callaway, PA
NPI 1801196720ActiveIndividual· Physician Assistant· Boise, ID
Physician Assistant (PA) with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. Their prescriptions cost Medicare Part D more than their services did: $1,551,999 for 884 claims, against $33,435 paid for services in 2024. Amgen Inc. reported $99.06 in payments in 2025, mostly food and beverage. Lists St Luke's Elmore Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1801196720 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 26, 2010 |
| Last updated in NPPES | Aug 23, 2023 |
| Certified by provider | Aug 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-865 | ID |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 270 |
|---|---|
| Services billed | 545 across 9 procedure codes |
| Paid by Medicare | $33,435 |
Part D prescriptions in 2024
| Prescriptions (claims) | 884 · 1,412 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $1,551,999 |
| Generic share | 12% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
| 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 Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, ID
- St Luke's Wood River Medical CenterKetchum, ID
Industry payments (Open Payments)
- 2025$99.06 · 1 payment from 1 company
- 2024$511.28 · 6 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $99.06 | 1 |
What the 2025 payments were for
- Food and Beverage$99.06 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 374 physician assistants in Boise · All physician assistants in Idaho