DR. DANIEL CLARK ABENROTH (M.D.) – Vascular Neurology Physician, NPI 1053678342

DR. DANIEL CLARK ABENROTH (M.D.) is a healthcare provider. based in Boise, Idaho. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. M-13696 (ID). The NPI Number for DR. DANIEL CLARK ABENROTH (M.D.) is 1053678342

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL CLARK ABENROTH (M.D.)
NPI
1053678342
Phone
(208) 381-7335
Address
9TH FLOOR -- NEUROSCIENCES
Enumeration Date
12 April 2012
Last Update Date
8 April 2019

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
0840421285
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20170807002449
Address ID
ID836426351ME520XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

92 NEUROLOGY in ID

Provider Addresses for DR. DANIEL CLARK ABENROTH (M.D.)

  • 9TH FLOOR -- NEUROSCIENCES

    190 E BANNOCK ST.

    BOISE, ID 837128905

    Phone: (208) 381-7335

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $484.

Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: QAPEL MEDICAL INC ($283).

Total Amount

$484

General + Research + Ownership

Payments

2

Total payment records

General Amount

$484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2017-08-07

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
I20170807002449INeurologyIDTBD

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 minutes5636$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3636$0
99291Critical care, first 30-74 minutes2823$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1913$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
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

Can I verify DR. DANIEL CLARK ABENROTH (M.D.) with an NPI only?
You can start verification with NPI 1053678342 for DR. DANIEL CLARK ABENROTH (M.D.), then check state licensing separately.
Does CMS list DR. DANIEL CLARK ABENROTH (M.D.) as active?
Yes — DR. DANIEL CLARK ABENROTH (M.D.) is active in the NPI listing used on this page.
What is DR. DANIEL CLARK ABENROTH (M.D.) best known for clinically?
Directory data describes DR. DANIEL CLARK ABENROTH (M.D.) with Vascular Neurology Physician. Clinical services aligned with this taxonomy classification.
Does DR. DANIEL CLARK ABENROTH (M.D.) list a practice location?
Patients near Boise, Idaho may find DR. DANIEL CLARK ABENROTH (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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