DR. DANIEL EDWARD CANNON (MD) – Otolaryngology Physician, NPI 1497997092

DR. DANIEL EDWARD CANNON (MD) is a healthcare provider. based in Coeur d alene, Idaho. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. M14014 (ID). The NPI Number for DR. DANIEL EDWARD CANNON (MD) is 1497997092

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL EDWARD CANNON (MD)
NPI
1497997092
Phone
(208) 625-5160
Address
700 W IRONWOOD DR STE 278
Enumeration Date
27 March 2009
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2082632505
Graduation Year
2009 (17 years ago)
PAC ID
4385860840
Group Practice PAC ID
1355792276
Professional Enrollment ID
I20180409001689
Address ID
ID838641511SA423XXAVEX403
Telehealth
Yes

Contacts

Secure Messaging
daniel.cannonmd.p79@direct.kootenai.nextgenshare.com
Secure Messaging
dcannon609654@direct.multicare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

49 OTOLARYNGOLOGY in ID

Provider Addresses for DR. DANIEL EDWARD CANNON (MD)

  • 700 W IRONWOOD DR STE 278

    COEUR D ALENE, ID 838144400

    Phone: (208) 625-5160

    Fax: (208) 625-5733

    Type: Location

  • 420 N 2nd Ave Ste 300

    Sandpoint, ID 838641552

    Phone: (208) 265-1991

    Fax: (208) 265-5733

    Type: Location

  • West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States

    COEUR D ALENE, ID 838146051

    Phone: (208) 625-5085

    Fax: (208) 625-5731

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($103).

Total Amount

$123

General + Research + Ownership

Payments

2

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-04-09

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
I20180409001689IOtolaryngologyIDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes474306$0
99203New patient office or other outpatient visit, 30-44 minutes293293$0
31575Diagnostic exam of voice box using a flexible endoscope8272$0
69210Removal of impacted ear wax6363$0
99204New patient office or other outpatient visit, 45-59 minutes6262$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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Provider's Procedures

DR. DANIEL EDWARD CANNON (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYOR92567Eardrum testing using ear probe5757

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 registry number for DR. DANIEL EDWARD CANNON (MD)?
The registry entry for DR. DANIEL EDWARD CANNON (MD) shows NPI 1497997092.
Should I treat DR. DANIEL EDWARD CANNON (MD) as an active provider?
Patients and plans typically see DR. DANIEL EDWARD CANNON (MD) as active in the national extract.
Which specialty label fits DR. DANIEL EDWARD CANNON (MD)?
NPPES ties DR. DANIEL EDWARD CANNON (MD) to Otolaryngology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DANIEL EDWARD CANNON (MD)?
DR. DANIEL EDWARD CANNON (MD) is associated with Coeur D Alene, Idaho in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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