JOHN DOUGLAS TRUEBLOOD (PAC) – Physician Assistant, NPI 1629047931
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for JOHN DOUGLAS TRUEBLOOD (PAC)
PO BOX 565
COTTONWOOD, ID 83522
Phone: (208) 962-3251
Fax: (208) 962-2478
Type: Mailing
Saint Mary's Hospital, 701, Lewiston Street, Cottonwood, Idaho County, Idaho, 83522, United States
COTTONWOOD, ID 83522
Phone: (208) 962-3267
Fax: (208) 962-3722
Type: Location
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Phone: (208) 962-3251
Fax: (208) 962-2313
Type: Mailing
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: 2019-02-18
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 |
|---|---|---|---|---|
| I20190218003086 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 66 | 42 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 62 | 42 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 | 47 | $0 |
Insurance plans in this area (ZIP 83522)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Family Practice | ID | |
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| General Surgery | CO | |
| - | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Family Practice | ID |
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