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Tate Coltan Staker , PA-C

Physician Assistant • Rexburg, ID

Active NPI 1184253585 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

130 W Main St
Rexburg, ID 834401827

Call 2083568818 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

130 W Main St

Rexburg, ID 834401827

Telephone 2083568818
Organization at the Same NPPES Address or Phone
J. B. Egbert Chiropractic Llc Facility NPI 1245519693

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: Mountain View Hospital 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

2020

30-day fills

119 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

$349 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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $27.77 across 2 records.

By nature of payment

  • Food and Beverage: $27.77 across 2 records.

Reporting-company totals

  • Eli Lilly and Company: $14.09 across 1 record.
  • Boston Scientific Corporation: $13.68 across 1 record.

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

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 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

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.

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, “Does 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tate Staker 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 Tate Staker 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 Rexburg and Idaho

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Rexburg, ID (2024, 15 clinicians with data). Median for this group: 520. Middle half: 105 to 1,991.

Fewer Part D prescriptions than 70% of 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

A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Rexburg, ID (2024, 15 clinicians with data). Median for this group: $95,668. Middle half: $727 to $110,083.

A lower Part D drug cost than 90% 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.

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

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

Telehealth indicator in Rexburg

4.8% of these 21 clinicians have the CMS telehealth indicator.

81% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: 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 · 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 · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $27.77.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $14.09
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $13.68

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

Medicare Part D Prescribing Profile & Medications

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

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 29 143 $78.37 29
Amoxicillin Amoxicillin 28 205 $77.37 28
Prednisone Prednisone 22 132 $22.51 21
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 22 148 $86.76 20
Methylprednisolone Methylprednisolone 18 108 $83.62 17

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: 2021-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES ID PA-1932

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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

I20210315002575

Enrollment State Jurisdiction

ID

PECOS Control ID

1456767508

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

Mountain View Hospital Llc

2325 Coronado St, Idaho Falls, ID 834047407

Phone: 2085572700

Mountain View Hospital Llc

2351 Coronado St, Idaho Falls, ID 834047407

Phone: 2085227310

Mountain View Hospital Llc

2305 Coronado St, Idaho Falls, ID 834047407

Phone: 2085221764

Mountain View Hospital Llc

2375 Coronado St, Idaho Falls, ID 834047407

Phone: 2085521234

Mountain View Hospital Llc

2353 Coronado St, Idaho Falls, ID 834047407

Phone: 2085524823

Mountain View Hospital Llc

404 N 2nd, Rexburg, ID 834401608

Phone: 2083591770

Mountain View Hospital Llc

2330 Coronado St, Idaho Falls, ID 834047407

Phone: 2085521234

Clinicians Sharing This Practice Address or Phone

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

1 listed
NPI 1447557483

Doctor of Chiropractic

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 28, 2021

Registered at 130 W MAIN ST, REXBURG, ID 834401827 (Tel: 2083568818)

📍
Updated Business Mailing Address October 28, 2021

Registered at 130 W MAIN ST, REXBURG, ID 834401827 (Tel: 2083568818)

👤
Provider Name / Credentials Updated October 28, 2021

Recorded as TATE STAKER, PA-C

âś…
NPI Profile Active April 07, 2020

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 07, 2020

Registered at 1322 S 2ND E, REXBURG, ID 834403824 (Tel: 2087166982)

📍
Business Mailing Address (Initial Record) April 07, 2020

Registered at 1322 S 2ND E, REXBURG, ID 834403824

👤
Provider Name / Credentials (Initial Record) April 07, 2020

Recorded as TATE STAKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184253585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2020
Last Update: October 28, 2021
Sole Proprietor: Yes

Other Physician Assistants in Rexburg

All Physician Assistants in Rexburg

Mailing Address

130 W Main St

Rexburg, ID 834401827

Phone: 2083568818

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.