Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tobias P Gopon, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1508152257

Tobias P Gopon, MD is a Sports Medicine in Boise, Idaho. Graduated from Medical College of Wisconsin in 2004, 22 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
22
Trained at
Medical College of Wisconsin
Licensed in
ID
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 N Robbins Rd Ste 400
Boise, ID 83702-4566
Phone: (208) 706-2663
Fax: (208) 489-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence M-11854 (ID)

Record details

NPI number1508152257
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2011
Last updated in NPPESFebruary 2, 2016

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2004 (22 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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