CLYDE ARTHUR HANSON (DO) – Emergency Medicine Physician, NPI 1760540801

CLYDE ARTHUR HANSON (DO) is a healthcare provider. based in St maries, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OP60768791 (WA). The NPI Number for CLYDE ARTHUR HANSON (DO) is 1760540801

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
CLYDE ARTHUR HANSON (DO)
NPI
1760540801
Phone
(205) 245-5551
Address
229 S 7TH ST
Enumeration Date
4 December 2006
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085823145
Graduation Year
1988 (38 years ago)
PAC ID
0648356055
Group Practice PAC ID
5395124622
Professional Enrollment ID
I20230202003188
Address ID
ID838611238ST1745XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,150 FAMILY PRACTICE in WA

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Provider Addresses for CLYDE ARTHUR HANSON (DO)

  • Benewah Community Hospital, 229, South 7th Street, Saint Maries, Benewah County, Idaho, 83861, United States

    ST MARIES, ID 838611803

    Phone: (205) 245-5551

    Fax: (208) 245-2262

    Type: Mailing

  • 600, Main Street, Elma, Howard County, Iowa, 50628, United States

    ELMA, WA 985419560

    Phone: (360) 346-2299

    Fax: (360) 346-2157

    Type: Location

  • 1593 E POLSTON AVE

    POST FALLS, ID 838545326

    Phone: (208) 262-2498

    Fax: (208) 262-7461

    Type: Mailing

  • 622 W COLLEGE AVE STE 2

    ST MARIES, ID 838611822

    Phone: (208) 568-7800

    Fax: (877) 902-7131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Lilly USA, LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$17
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: 2023-02-02

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080326000350IEmergency MedicineIDTBD
I20170626001064IFamily PracticeTXTBD
I20230202003188IFamily PracticeIDTBD

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 minutes227111$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10420$0
99212Established patient office or other outpatient visit, 10-19 minutes7461$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
96372Injection of drug or substance under skin or into muscle4033$0
View full utilization report →

Insurance plans in this area (ZIP 83861)

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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: 5395124622View full group profile
NameSpecialtyState
Nurse PractitionerID
Emergency MedicineID

Reviews

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Frequently asked questions

What is the standard ID for CLYDE ARTHUR HANSON (DO) in the U.S.?
In the U.S., CLYDE ARTHUR HANSON (DO) is identified by NPI 1760540801.
Is CLYDE ARTHUR HANSON (DO) currently accepting referrals based on NPI status?
Registry metadata lists CLYDE ARTHUR HANSON (DO) as active.
How should patients interpret CLYDE ARTHUR HANSON (DO)'s specialty?
The extract shows Emergency Medicine Physician for CLYDE ARTHUR HANSON (DO). Clinical services aligned with this taxonomy classification.
Can patients visit CLYDE ARTHUR HANSON (DO) in St Maries, Idaho?
For routing, start with St Maries, Idaho for CLYDE ARTHUR HANSON (DO), then verify phone and hours locally.
Why is information missing for CLYDE ARTHUR HANSON (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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