MARK DAHLE (MD) – Family Medicine Physician, NPI 1174187587
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
971 FAMILY PRACTICE in ID
Loading map...
Provider Addresses for MARK DAHLE (MD)
777, North Raymond Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States
BOISE, ID 837049251
Phone: (208) 514-2500
Fax: (208) 375-2217
Type: Mailing
Saltzer Medical Group, 215, East Hawaii Avenue, Nampa, Canyon County, Idaho, 83686, United States
NAMPA, ID 836866011
Phone: (208) 514-2529
Fax: (208) 375-2217
Type: Location
1224 8th Street
Rupert, ID 833501527
Phone: (208) 436-0481
Fax: (208) 436-0500
Type: Location
1224 8TH STREET
RUPERT, ID 833501527
Phone: (208) 434-8236
Fax: (208) 436-6038
Type: Mailing
1308 8TH ST STE 1
RUPERT, ID 833501535
Phone: (208) 436-4322
Fax: (208) 436-1312
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,130.
Total Amount is formed as General ($1,130) + Research ($0) + Ownership ($0) = $1,130.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($428).
Total Amount
$1,130
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221026001606 | I | Family Practice | ID | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83704)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Family Practice | TX | |
| Nurse Practitioner | ID | |
| General Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery | ID | |
| - | ID | |
| Emergency Medicine | IL | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Family Practice | ID |
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.