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

Mr. Kodie Thomas

Individual provider Physician Assistant · NPI 1003376559

Mr. Kodie Thomas is a Physician Assistant in Emmett, Idaho. Qualified in 2019, 7 years ago. Practices with Quantum Healthcare Medical Associates of Arizona PC, a 36-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2086 Picket Ln
Emmett, ID 83617-9104
Phone: (208) 369-1276
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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 9134 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1003376559
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Quantum Healthcare Medical Associates Of Arizona Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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 patients428
Services billed 480 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

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.

Colleagues at Quantum Healthcare Medical Associates of Arizona PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 36 clinicians in the practice; 12 are shown here.

Other providers in Emmett