DR. KERRY P PULVER (MD,PHD) – Hematology & Oncology Physician, NPI 1376596247

DR. KERRY P PULVER (MD,PHD) is a healthcare provider. based in Meridian, Idaho. specializing in MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY, HEMATOLOGY, HEMATOLOGY/ONCOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD,PHD. They hold a License No. M5257 (ID). The NPI Number for DR. KERRY P PULVER (MD,PHD) is 1376596247

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. KERRY P PULVER (MD,PHD)
NPI
1376596247
Phone
(208) 367-3131
Address
3340 E GOLDSTONE WAY
Enumeration Date
19 May 2006
Last Update Date
22 May 2013

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
2082884520
Graduation Year
1981 (45 years ago)
PAC ID
8426180936
Group Practice PAC ID
3476462359
Professional Enrollment ID
I20100720000240
Address ID
ID836879203NA4402XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

41 MEDICAL ONCOLOGY in ID

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Provider Addresses for DR. KERRY P PULVER (MD,PHD)

  • 3340 E GOLDSTONE WAY

    MERIDIAN, ID 836421026

    Phone: (208) 367-3131

    Fax: (208) 367-4860

    Type: Mailing

  • Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States

    BOISE, ID 83706

    Phone: (208) 367-3131

    Fax: (208) 367-4860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100720000240IMedical OncologyIDTBD
I20110920000745IMedical OncologyORTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3722$0
View full utilization report →

Insurance plans in this area (ZIP 83642)

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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: 3476462359View full group profile

Reviews

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Frequently asked questions

What is DR. KERRY P PULVER (MD,PHD)'s NPI number?
DR. KERRY P PULVER (MD,PHD)'s NPI is 1376596247 — the number used across U.S. healthcare to identify this provider.
Is DR. KERRY P PULVER (MD,PHD) still an active registrant?
DR. KERRY P PULVER (MD,PHD) carries an active NPI according to the public dataset.
How would a patient describe DR. KERRY P PULVER (MD,PHD)'s focus?
For DR. KERRY P PULVER (MD,PHD), the primary taxonomy reads as Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KERRY P PULVER (MD,PHD) located near Meridian?
DR. KERRY P PULVER (MD,PHD) currently maps to Meridian, Idaho in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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