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Dr. Andrew Dillon Smith , DO

Pediatrics β€’ Boise, ID

Active NPI 1366071094 Individual Practitioner Male Practitioner
Practice location in NPPES

8610 W Overland Rd
Boise, ID 837091645

Call 2089548711 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8610 W Overland Rd

Boise, ID 837091645

Telephone 2089548711
Fax 2083752217
Organization at the Same NPPES Address or Phone
Full Circle Health, Inc. Facility NPI 1164267373

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Wyoming, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $20.41 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boise and Idaho

73 active clinicians are listed under Pediatrics with a practice address in Boise, ID (230 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boise

0% of these 73 clinicians have the CMS telehealth indicator.

4.1% of these 73 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $20.41.

Manufacturer Payment Nature Product Type Amount ($)
Kestra Medical Technology Services, Inc.
Food and Beverage
Cash or cash equivalent
Assure WCD General $20.41

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES ID 9571956

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 5101027591

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230724001169

Enrollment State Jurisdiction

MI

PECOS Control ID

5890155709

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2215 44th St Sw

Wyoming, MI 495196439

Phone: 6162528300

5900 Byron Center Ave Sw

Wyoming, MI 495199606

Phone: 6162528300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

28 listed
NPI 1164862058

Doctor of Medicine (M.D.)

NPI 1134417272

Doctor of Medicine (M.D.)

Mark Berger , NP

Nurse Practitioner - Family

NPI 1023471000

Nurse Practitioner

NPI 1104512854

Doctor of Medicine (M.D.)

NPI 1093465122

Doctor of Medicine (M.D.)

Dr. Robert Crouch , DO

Family Medicine

NPI 1164801692

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location July 28, 2025

Registered at 8610 W OVERLAND RD, BOISE, ID 837091645 (Tel: 2089548711)

πŸ“
Updated Business Mailing Address July 28, 2025

Registered at 777 N RAYMOND ST, BOISE, ID 837049251 (Tel: 2085142500)

🏒
Secondary Practice Location Registered July 28, 2025

Additional practice office at 5900 Byron Center Ave SW, Wyoming, MI 495199606

🏒
Secondary Practice Location Registered July 28, 2025

Additional practice office at 2215 44th St SW, Wyoming, MI 495196439

πŸ“
Updated Practice Location October 03, 2023

Registered at 2215 44TH ST SW, WYOMING, MI 495196439 (Tel: 6162528300)

πŸ“
Updated Business Mailing Address October 03, 2023

Registered at 5900 BYRON CENTER AVE SW, WYOMING, MI 495199606

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2023

Pediatrics (license number reported to NPPES: MI 5101027591)

βœ…
NPI Profile Active April 04, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 04, 2020

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102306 (Tel: 3154645420)

πŸ“
Business Mailing Address (Initial Record) April 04, 2020

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102306

πŸ‘€
Provider Name / Credentials (Initial Record) April 04, 2020

Recorded as ANDREW SMITH, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366071094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2020
Last Update: July 28, 2025
Sole Proprietor: No

Mailing Address

777 N Raymond St

Boise, ID 837049251

Phone: 2085142500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.