DR. JOHN L ANDARY (M.D.) – Orthopaedic Surgery Physician, NPI 1629060280
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in ID
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Provider Addresses for DR. JOHN L ANDARY (M.D.)
2035, East 17th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834046430
Phone: (208) 524-5633
Fax: (208) 524-1045
Type: Location
8775 S SADDLE HORN DR
IDAHO FALLS, ID 834044957
Phone: (208) 552-2221
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($87).
Total Amount
$103
General + Research + Ownership
Payments
4
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $87 |
| Stryker Corporation | $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: 2008-09-02
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 |
|---|---|---|---|---|
| I20080902000265 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 70 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 62 | 30 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 49 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 47 | 47 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Osteopathic Manipulative Medicine | WY | |
| Physical Medicine And Rehabilitation | ID | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | ID | |
| Qualified Audiologist | ID | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | ID | |
| Nurse Practitioner | ID |
Reviews
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