CHARLES MALCOLM JR. CLAIR (MD) – Family Medicine Physician, NPI 1003012204

CHARLES MALCOLM JR. CLAIR (MD) is a healthcare provider. based in Rupert, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M-10525 (ID). The NPI Number for CHARLES MALCOLM JR. CLAIR (MD) is 1003012204

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES MALCOLM JR. CLAIR (MD)
NPI
1003012204
Phone
(208) 436-0481
Address
1224 8TH ST
Enumeration Date
25 June 2007
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
20843604813167
Graduation Year
2007 (19 years ago)
PAC ID
6709910128
Group Practice PAC ID
7315908894
Professional Enrollment ID
I20100819001006
Address ID
ID833501527RU1224XSTXX300

Contacts

Secure Messaging
cclair10728865@direct.sanfordhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

971 FAMILY PRACTICE in ID

Provider Addresses for CHARLES MALCOLM JR. CLAIR (MD)

  • 1224 8TH ST

    RUPERT, ID 833501599

    Phone: (208) 436-0481

    Fax: (208) 436-6038

    Type: Location

  • 1071 Renee Ave

    Pocatello, ID 832012508

    Phone: (208) 252-5602

    Fax: (208) 269-7094

    Type: Location

  • 1071, Renee Avenue, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832012508

    Phone: (208) 252-5602

    Fax: (208) 269-7094

    Type: Location

  • 1322, Stoneridge Drive, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832015043

    Phone: (208) 436-0481

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100819001006IFamily PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11647$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6537$0
99238Hospital discharge day management, 30 minutes or less5147$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4122$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2421$0
View full utilization report →

Insurance plans in this area (ZIP 83350)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315908894View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerID
General Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular SurgeryID
-ID
Family PracticeID
Emergency MedicineIL
Certified Registered Nurse Anesthetist (Crna)ID
Orthopedic SurgeryID
Physician AssistantID
Family PracticeID

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference CHARLES MALCOLM JR. CLAIR (MD)?
For CHARLES MALCOLM JR. CLAIR (MD), use NPI 1003012204 as the unique 10-digit identifier.
Is CHARLES MALCOLM JR. CLAIR (MD) shown as active in public data?
Registry records indicate CHARLES MALCOLM JR. CLAIR (MD) maintains an active NPI.
What expertise is attributed to CHARLES MALCOLM JR. CLAIR (MD)?
CHARLES MALCOLM JR. CLAIR (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CHARLES MALCOLM JR. CLAIR (MD) associated with Rupert?
Public fields place CHARLES MALCOLM JR. CLAIR (MD) around Rupert, Idaho. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

JANET KING (RN NP)

Family Medicine Physician
Prince Rupert, North Coast Regional District, British Columbia, Canada
NPI: 1578550547

MR. JEFFREY SCOTT SWENSON (MD)

Family Medicine Physician
8th Street, Prince Rupert, North Coast Regional District, British Columbia, V8J 1H7, Canada
NPI: 1376531004

DR. DONALD J KONRAD (D.O.)

Family Medicine Physician
Minidoka Memorial Hospital, 1224, 8th Street, Rupert, Minidoka County, Idaho, 83350, United States
NPI: 1306836077

FAMILY HEALTH SERVICES CORPORATION

Federally Qualified Health Center (FQHC)
Eastland Drive, Twin Falls, Twin Falls County, Idaho, 83301, United States
NPI: 1093761694

MR. GREG C BOETTCHER (DO)

Family Medicine Physician
267 N CANYON DR
NPI: 1508899295

MR. KERRY W SAUREY (MD)

Family Medicine Physician
9th Street, Rupert, Minidoka County, Idaho, 83350, United States
NPI: 1598798282

BRETT SHANE GOCHNOUR (D.O.)

Family Medicine Physician
1024 8th St
NPI: 1588671622

LANNY F CAMPBELL (MD)

Family Medicine Physician
1224 8th Street
NPI: 1780790147