DAN S ZUCKERMAN (MD) – Hematology & Oncology Physician, NPI 1023093507

DAN S ZUCKERMAN (MD) is a healthcare provider. based in Boise, Idaho. specializing in MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. M10165 (ID). The NPI Number for DAN S ZUCKERMAN (MD) is 1023093507

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DAN S ZUCKERMAN (MD)
NPI
1023093507
Phone
(208) 381-2709
Address
190 E BANNOCK ST
Enumeration Date
7 December 2005
Last Update Date
20 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083815970
Graduation Year
2002 (24 years ago)
PAC ID
6608878830
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20080722000132
Address ID
ID837025511BO610XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

41 MEDICAL ONCOLOGY in ID

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Provider Addresses for DAN S ZUCKERMAN (MD)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2709

    Type: Mailing

  • 100, East Idaho Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126223

    Phone: (208) 381-2711

    Fax: (208) 381-4025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $316.

Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($134).

Total Amount

$316

General + Research + Ownership

Payments

4

Total payment records

General Amount

$316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080722000132IMedical OncologyIDTBD
I20110510000439IHematology/OncologyORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes405129$0
99213Established patient office or other outpatient visit, 20-29 minutes145107$0
99215Established patient office or other outpatient visit, 40-54 minutes10652$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
99205New patient office or other outpatient visit, 60-74 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
General SurgeryID
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal MedicineID

Reviews

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Frequently asked questions

Can I use this page to confirm DAN S ZUCKERMAN (MD)'s NPI?
Yes. DAN S ZUCKERMAN (MD) is listed with NPI 1023093507 in the public NPI dataset.
Does the file indicate DAN S ZUCKERMAN (MD) is practicing under active NPI?
Directory data currently reports DAN S ZUCKERMAN (MD) as active.
What is DAN S ZUCKERMAN (MD)'s specialty?
The listing groups DAN S ZUCKERMAN (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is DAN S ZUCKERMAN (MD) based?
DAN S ZUCKERMAN (MD) is tied to Boise, Idaho in the data we show; additional addresses may exist on the full record.
Why does DAN S ZUCKERMAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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