DR. EDWARD GERARD DETAR (MD) – Surgery Physician, NPI 1194706465

DR. EDWARD GERARD DETAR (MD) is a healthcare provider. based in Coeur d alene, Idaho. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. M-9855 (ID). The NPI Number for DR. EDWARD GERARD DETAR (MD) is 1194706465

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD GERARD DETAR (MD)
NPI
1194706465
Phone
(208) 625-5200
Address
700 W IRONWOOD DR
Enumeration Date
14 November 2005
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
6002805868
Group Practice PAC ID
1355792276
Professional Enrollment ID
I20080912000184
Address ID
ID838146051CO2003XWAYX400
Telehealth
Yes

Contacts

Secure Messaging
edward.detar.p79@direct.kootenai.nextgenshare.com
Secure Messaging
edetar609825@direct.multicare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

191 GENERAL SURGERY in ID

Provider Addresses for DR. EDWARD GERARD DETAR (MD)

  • 700, West Ironwood Drive, Coeur d'Alene, Kootenai County, Idaho, 83814, United States

    SUITE 304

    COEUR D ALENE, ID 838142656

    Phone: (208) 625-5200

    Fax: (208) 625-5201

    Type: Mailing

  • 700 W IRONWOOD DR STE 341

    COEUR D ALENE, ID 838144404

    Phone: (208) 625-5200

    Fax: (208) 625-5201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $5,147.

Total Amount is formed as General ($5,147) + Research ($0) + Ownership ($0) = $5,147.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,147).

Total Amount

$5,147

General + Research + Ownership

Payments

19

Total payment records

General Amount

$5,147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$5,147
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: 2008-09-12

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
I20080912000184IGeneral SurgeryIDTBD

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
99202New patient office or other outpatient visit, 15-29 minutes5050$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
99213Established patient office or other outpatient visit, 20-29 minutes3331$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
49650Repair of groin hernia using an endoscope2424$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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Provider's Procedures

DR. EDWARD GERARD DETAR (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYID43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope1212

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: 1355792276View full group profile
NameSpecialtyState
Orthopedic SurgeryID
Physician AssistantID
Surgical Oncology, Hematology/Oncology, General SurgeryWA
Pulmonary Disease, Critical Care (Intensivists)ID
Physician AssistantID
Undefined Non Physician Type (Specify)ID
Physician AssistantUT
Certified Nurse Midwife (Cnm)ID
Physician AssistantID
Internal MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for DR. EDWARD GERARD DETAR (MD) in the U.S.?
In the U.S., DR. EDWARD GERARD DETAR (MD) is identified by NPI 1194706465.
Is DR. EDWARD GERARD DETAR (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. EDWARD GERARD DETAR (MD) as active.
How should patients interpret DR. EDWARD GERARD DETAR (MD)'s specialty?
The extract shows Surgery Physician for DR. EDWARD GERARD DETAR (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. EDWARD GERARD DETAR (MD) in Coeur D Alene, Idaho?
For routing, start with Coeur D Alene, Idaho for DR. EDWARD GERARD DETAR (MD), then verify phone and hours locally.
Who maintains DR. EDWARD GERARD DETAR (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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