DR. ROBERT MICHAEL MENA (MD) – Family Medicine Physician, NPI 1073657482

DR. ROBERT MICHAEL MENA (MD) is a healthcare provider. based in Jerome, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. T0566 (TX). The NPI Number for DR. ROBERT MICHAEL MENA (MD) is 1073657482

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT MICHAEL MENA (MD)
NPI
1073657482
Phone
(208) 324-6656
Address
1100 N Lincoln Ave
Enumeration Date
18 February 2007
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8306727581
Graduation Year
1990 (36 years ago)
PAC ID
5890682272
Group Practice PAC ID
8527963776
Professional Enrollment ID
I20210701000190
Address ID
TX786293311GO1110XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

969 FAMILY PRACTICE in ID

Provider Addresses for DR. ROBERT MICHAEL MENA (MD)

  • 1100 N Lincoln Ave

    Jerome, ID 833381856

    Phone: (208) 324-6656

    Fax: (208) 324-1492

    Type: Location

  • 1100 N LINCOLN AVE

    JEROME, ID 833381856

    Phone: (208) 324-6656

    Fax: (208) 324-1492

    Type: Mailing

  • 538 BROADWAY

    WINNIE, TX 776657600

    Phone: (409) 296-6000

    Type: Location

  • 718 AVENUE A

    WINNIE, TX 776658890

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Kerecis Limited ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$26
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: 2021-07-01

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
I20210701000190IFamily PracticeTXTBD

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
99238Hospital discharge day management, 30 minutes or less4139$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 83338)

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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: 8527963776View full group profile
NameSpecialtyState
General SurgeryTX
Physician AssistantTX
Diagnostic RadiologyVA
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Orthopedic SurgeryTX
-TX
Family PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify DR. ROBERT MICHAEL MENA (MD) for billing?
Administrative and clinical systems typically use NPI 1073657482 for DR. ROBERT MICHAEL MENA (MD).
Should I treat DR. ROBERT MICHAEL MENA (MD) as an active provider?
Patients and plans typically see DR. ROBERT MICHAEL MENA (MD) as active in the national extract.
What services align with DR. ROBERT MICHAEL MENA (MD)'s listing?
DR. ROBERT MICHAEL MENA (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ROBERT MICHAEL MENA (MD)?
The directory associates DR. ROBERT MICHAEL MENA (MD) with Jerome, Idaho. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. ROBERT MICHAEL MENA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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