DR. JOHN E LILJENQUIST (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1619977600
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16 ENDOCRINOLOGY in ID
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Provider Addresses for DR. JOHN E LILJENQUIST (MD)
3910, Washington Parkway, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047596
Phone: (208) 522-2996
Fax: (208) 523-3318
Type: Mailing
2220, East 25th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047542
Phone: (208) 522-2996
Fax: (208) 523-6025
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Lilly USA, LLC ($21).
Total Amount
$91
General + Research + Ownership
Payments
5
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $21 |
| Amgen Inc. | $19 |
| Radius Health, Inc. | $18 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $17 |
| Novo Nordisk Inc | $16 |
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: 2010-01-20
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 |
|---|---|---|---|---|
| I20100120000865 | I | Endocrinology | 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 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Registered Dietitian Or Nutrition Professional | ID | |
| E N D O C R I N O L O G Y | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Nurse Practitioner | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Registered Dietitian Or Nutrition Professional | ID |
Reviews
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