Landon Mitchel Favero
NPI 1801363577ActiveIndividual· Physician Assistant· Boise, ID
Physician Assistant with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. 332 Medicare patients in 2024, $16,337 paid; nearly all of their 440 Part D prescriptions were generic (90%). Becton, Dickinson and Company reported $17.16 in payments in 2025, mostly food and beverage. Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1801363577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 31, 2018 |
| Last updated in NPPES | Aug 22, 2023 |
| Certified by provider | Aug 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-2428 | ID |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Physician Assistant | 363A00000X | 11240954-1206 | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 332 |
|---|---|
| Services billed | 410 across 35 procedure codes |
| Paid by Medicare | $16,337 |
Part D prescriptions in 2024
| Prescriptions (claims) | 440 · 452 30-day fills |
|---|---|
| Patients | 343 |
| Total drug cost | $7,083 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2025$17.16 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Becton, Dickinson and Company | $17.16 | 1 |
What the 2025 payments were for
- Food and Beverage$17.16 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Boise
- 1003288648
- 1013568468
- 1013905793
- 1013993286
- 1023008414
- 1023409265
- 1033620315
- 1033877527
- 1043665789
- 1043943442
- 1053914200
- 1053922880
All 374 physician assistants in Boise · All physician assistants in Idaho