Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Alexander Ronald Larson

Physician Assistant โ€ข Boise, ID

Active NPI 1679168223 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1907 S Broadway Ave Ste 101
Boise, ID 837064229

Call 2083451222 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

1907 S Broadway Ave Ste 101

Boise, ID 837064229

Telephone 2083451222
Organization at the Same NPPES Address or Phone
Alliance Medical Group, Llc Facility NPI 1497991749

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

CMS Doctors and Clinicians lists 1 group name: Alliance Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

236 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $20,316 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $13,675 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

293 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,560 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $658.45 across 27 records.

By nature of payment

  • Food and Beverage: $658.45 across 27 records.

Reporting-company totals (3 largest of 16)

  • Amgen Inc.: $198.92 across 4 records.
  • AstraZeneca Pharmaceuticals LP: $78.31 across 3 records.
  • GlaxoSmithKline, LLC.: $63.46 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alexander Larson 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 Alexander Larson 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

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Boise, ID (2024, 204 clinicians with data). Median for this group: 181. Middle half: 93 to 368.

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: 259. Middle half: 106 to 562.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Boise, ID (2024, 204 clinicians with data). Median for this group: $12,226. Middle half: $6,474 to $26,101.

Close to the middle for clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: $16,433. Middle half: $6,832 to $32,555.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Boise, ID (2024, 204 clinicians with data). Median for this group: $9,198. Middle half: $4,675 to $19,415.

Close to the middle for clinicians listed under Physician Assistant in Idaho (2024, 719 clinicians with data). Median for this group: $12,006. Middle half: $4,892 to $23,827.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Boise, ID (2024, 211 clinicians with data). Median for this group: 196. Middle half: 85 to 692.

Close to the middle for clinicians listed under Physician Assistant in Idaho (2024, 820 clinicians with data). Median for this group: 337. Middle half: 117 to 1,216.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Boise, ID (2024, 211 clinicians with data). Median for this group: $3,075. Middle half: $749 to $53,240.

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Idaho (2024, 820 clinicians with data). Median for this group: $9,384. Middle half: $1,120 to $140,786.

362 active clinicians are listed under Physician Assistant with a practice address in Boise, ID (1,252 in Idaho).

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

Telehealth indicator in Boise

12.4% of these 362 clinicians have the CMS telehealth indicator.

71.5% of these 362 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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 ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 27 records totaling $658.45.

Manufacturer Payment Nature Product Type Amount ($)
Amgen Inc.
Food and Beverage
In-kind items and services
โ€” General $143.99
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $27.91
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $27.24
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $26.96
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $24.11
Amgen Inc.
Food and Beverage
In-kind items and services
REPATHA General $23.06
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $22.31
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
TRINTELLIX General $22.19
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $22.16
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $21.06
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $20.28
Eli Lilly and Company
Food and Beverage
In-kind items and services
JARDIANCE General $19.78
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $19.64
Phathom Pharmaceuticals, Inc.
Food and Beverage
Cash or cash equivalent
VOQUEZNA General $19.19
Pfizer Inc.
Food and Beverage
In-kind items and services
PAXLOVID General $19.11
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $18.99
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ROTATEQ General $18.78
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $18.71
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $17.75
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
ELIQUIS General $17.60
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $17.00
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
โ€” General $16.78
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Symbravo General $15.14
Kowa Pharmaceuticals America, Inc.
Food and Beverage
In-kind items and services
ZORYVE General $15.02
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $14.87

(top 25 shown)

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

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
130 123 $175.54 $70.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 47 $248.71 $100.57
81002 Urinalysis, manual test
37 33 $6.00 $3.41
71046 X-ray of chest, 2 views
35 18 $42.77 $14.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $215.44 $86.72
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
19 19 $65.00 $40.55
36415 Insertion of needle into vein for collection of blood sample
14 14 $10.00 $8.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $329.55 $130.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $108.64 $44.06

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 63 476 $476.08 63
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 39 299 $229.19 39
Cefadroxil Cefadroxil 31 257 $295.62 31
Prednisone Prednisone 27 183 $66.95 25
Doxycycline Monohydrate Doxycycline Monohydrate 23 181 $349.56 23
Azithromycin Azithromycin 17 79 $48.22 17
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 15 79 $139.12 14
Albuterol Sulfate Hfa Albuterol Sulfate 15 273 $230.88 15
Paxlovid Nirmatrelvir/Ritonavir 15 75 $0.00 15
Cefdinir Cefdinir 13 112 $302.83 13
Fluconazole Fluconazole 12 46 $78.91 12
Ciprofloxacin Hcl Ciprofloxacin Hcl 12 62 $238.20 12
Ondansetron Odt Ondansetron 11 46 $104.74 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES ID PA-2128

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20211014000226

Enrollment State Jurisdiction

ID

PECOS Control ID

3779981261

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Alliance Medical Group Llc

1474 N Meridian Rd, Kuna, ID 836342041

Phone: 2088092885

Alliance Medical Group Llc

1375 N Happy Valley Rd, Nampa, ID 836875280

Phone: 2088092869

Alliance Medical Group Llc

512 N 21st Ave, Caldwell, ID 836054368

Phone: 2088092875

Alliance Medical Group Llc

6052 W State St, Boise, ID 837032739

Phone: 2089471947

Alliance Medical Group Llc

11197 W Fairview Ave, Boise, ID 837137935

Phone: 2083788011

Alliance Medical Group Llc

10482 W Carlton Bay Dr, Garden City, ID 837145143

Phone: 2089556500

Alliance Medical Group Llc

4971 W Overland Rd, Boise, ID 837052822

Phone: 2084725050

Alliance Medical Group Llc

8971 W Overland Rd, Boise, ID 837091651

Phone: 2083784288

Clinicians Sharing This Practice Address or Phone

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

9 listed
Dr. Joshua Adams , MD

Family Medicine

NPI 1568789980

Doctor of Medicine (M.D.)

Stuart Coldsnow

Physician Assistant

NPI 1265056568
Logan Hill , PA-C

Physician Assistant

NPI 1932797248

Physician Assistant (Certified)

Dr. Mark Michaud , MD

Family Medicine

NPI 1780621128

Doctor of Medicine (M.D.)

Tami Miller

Nurse Practitioner

NPI 1174164263
NPI 1669633798

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ“
Updated Practice Location October 11, 2021

Registered at 1907 S BROADWAY AVE STE 101, BOISE, ID 837064229 (Tel: 2083451222)

๐Ÿ“
Updated Business Mailing Address October 11, 2021

Registered at PO BOX 191050, BOISE, ID 837191050 (Tel: 2089851399)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2021

Physician Assistant (license number reported to NPPES: ID PA-2128)

โœ…
NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 05, 2021

Registered at 4350 US 421 S, LILLINGTON, NC 275466760 (Tel: 9108931210)

๐Ÿ“
Business Mailing Address (Initial Record) March 05, 2021

Registered at 513 OMAHA DR, BROADWAY, NC 275058157 (Tel: 2084478983)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 05, 2021

Recorded as ALEXANDER LARSON

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679168223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: October 11, 2021
Sole Proprietor: No

Other Physician Assistants in Boise

All Physician Assistants in Boise

Mailing Address

Po Box 191050

Boise, ID 837191050

Phone: 2089851399

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.