JON DANIEL MALAN (DO) – Family Medicine Physician, NPI 1306842232

JON DANIEL MALAN (DO) is a healthcare provider. based in Pocatello, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 20A8092 (CA). The NPI Number for JON DANIEL MALAN (DO) is 1306842232

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JON DANIEL MALAN (DO)
NPI
1306842232
Phone
(208) 232-7862
Address
500 S 11TH AVE STE 400
Enumeration Date
24 June 2005
Last Update Date
6 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082327862
Graduation Year
2001 (25 years ago)
PAC ID
6709859903
Group Practice PAC ID
4981500931
Professional Enrollment ID
I20250829003287
Address ID
WY829014750RO2620XWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

972 FAMILY PRACTICE in ID

Provider Addresses for JON DANIEL MALAN (DO)

  • 500 S 11TH AVE STE 400

    POCATELLO, ID 832014880

    Phone: (208) 232-7862

    Fax: (208) 232-4869

    Type: Mailing

  • 1001 N 7TH AVE STE 135

    POCATELLO, ID 832015790

    Phone: (208) 425-2489

    Type: Location

  • 1850, Walnut Street, Red Bluff, Tehama County, California, 96080, United States

    PO BOX 400

    RED BLUFF, CA 960800400

    Phone: (530) 527-0350

    Fax: (530) 529-3881

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $349.

Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($106).

Total Amount

$349

General + Research + Ownership

Payments

14

Total payment records

General Amount

$349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2025-10-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20040816001456IFamily PracticeCATBD
I20240501002959IFamily PracticeIDTBD
I20250829003287IFamily PracticeWYTBD
I20251021003961IFamily PracticeUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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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: 4981500931View full group profile
NameSpecialtyState
Physician AssistantID
Family PracticeID
Physician AssistantAZ
Nurse PractitionerID
Family PracticeID
Family PracticeID
Family PracticeID
Family PracticeID
Family PracticeID
Physician AssistantID

Reviews

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Frequently asked questions

Is there an official ID for JON DANIEL MALAN (DO) in U.S. healthcare records?
The official identifier for JON DANIEL MALAN (DO) is NPI 1306842232.
Active or inactive — what applies to JON DANIEL MALAN (DO)?
You should see JON DANIEL MALAN (DO) as active in CMS-hosted NPPES data.
What kind of doctor is JON DANIEL MALAN (DO)?
JON DANIEL MALAN (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JON DANIEL MALAN (DO) located near Pocatello?
JON DANIEL MALAN (DO) currently maps to Pocatello, Idaho in this extract.
When was this NPI issued?
Enumeration for JON DANIEL MALAN (DO) is noted as June 24, 2005 where the registry provides it.

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