Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Marlo Pichardo, PAC

Individual provider Physician Assistant · NPI 1699842021

Marlo Pichardo, PAC is a Physician Assistant in Eagle, Idaho. Qualified in 1999, 27 years ago. Practices with Momentum Medical Group of Idaho LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Florida and Idaho.

Years since qualifying
27
Licensed in
FL, ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

408 S Eagle Rd Ste 205
Eagle, ID 83616-6079
Phone: (208) 740-8797
Fax: (530) 237-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1898 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA9102903 (FL)

Record details

NPI number1699842021
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Momentum Medical Group Of Idaho Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients35
Services billed 69 a service is one billed item, such as a visit, a test or a procedure
Average patient age81

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $17 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • St Luke'S Nampa Medical Center Hospital · Nampa, ID

Colleagues at Momentum Medical Group of Idaho LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 8 clinicians in the practice; 5 are shown here.

Other providers in Eagle