DR. MICHAEL LEE ETTNER (MD) – Emergency Medicine Physician, NPI 1629061940
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 EMERGENCY MEDICINE in ID
Provider Addresses for DR. MICHAEL LEE ETTNER (MD)
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Phone: (208) 625-4000
Type: Mailing
1012 S 3rd St
Dayton, WA 993281696
Phone: (509) 382-2531
Fax: (509) 382-3205
Type: Location
229 S 7TH ST
SAINT MARIES, ID 838611803
Phone: (208) 245-5551
Fax: (208) 245-5246
Type: Location
1012 S 3RD ST
DAYTON, WA 993281696
Phone: (509) 382-8347
Fax: (509) 382-3205
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $3,678.
Total Amount is formed as General ($3,678) + Research ($0) + Ownership ($0) = $3,678.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: LivaNova USA, Inc. ($3,652).
Total Amount
$3,678
General + Research + Ownership
Payments
8
Total payment records
General Amount
$3,678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LivaNova USA, Inc. | $3,652 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $26 |
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: 2023-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100322000917 | I | Emergency Medicine | ID | TBD |
| I20220124000402 | I | Emergency Medicine | TX | TBD |
| I20230213001111 | I | Emergency Medicine | WA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 244 | 234 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 199 | 186 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 107 | 101 | $0 |
| 99291 | Critical care, first 30-74 minutes | 41 | 39 | $0 |
Insurance plans in this area (ZIP 83814)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ID | |
| Emergency Medicine | WA | |
| Emergency Medicine | WA | |
| Family Practice | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.