JONATHAN DONALD FISHER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1891969606

JONATHAN DONALD FISHER (DPM) is a healthcare provider. based in Ponderay, Idaho. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. P-198 (ID). The NPI Number for JONATHAN DONALD FISHER (DPM) is 1891969606

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN DONALD FISHER (DPM)
NPI
1891969606
Phone
(208) 265-9817
Address
30544 HIGHWAY 200
Enumeration Date
14 April 2008
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082659817
Graduation Year
2004 (22 years ago)
PAC ID
7315011319
Group Practice PAC ID
0840385670
Professional Enrollment ID
I20080809000066
Address ID
ID838525005PO30544200X302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

72 PODIATRY in ID

Provider Addresses for JONATHAN DONALD FISHER (DPM)

  • 30544 HIGHWAY 200

    SUITE 102

    PONDERAY, ID 838525005

    Phone: (208) 265-9817

    Fax: (208) 265-4533

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $815.

Total Amount is formed as General ($815) + Research ($0) + Ownership ($0) = $815.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: EXACTECH, INC. ($462).

Total Amount

$815

General + Research + Ownership

Payments

12

Total payment records

General Amount

$815

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080809000066IPodiatryIDTBD
I20230314001863IPodiatryWATBD

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 minutes458266$0
29581Application of vein wound compression bandages on lower leg, ankle, and foot32325$0
99203New patient office or other outpatient visit, 30-44 minutes262262$0
11721Removal of fingernails or toenails, 6 or more nails258113$0
73630X-ray of foot, minimum of 3 views231141$0
View full utilization report →

Insurance plans in this area (ZIP 83852)

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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: 0840385670View full group profile
NameSpecialtyState
Family PracticeID
Nurse PractitionerID
Orthopedic SurgeryMI
Nurse PractitionerID
Registered Dietitian Or Nutrition ProfessionalID
Orthopedic SurgeryID
Registered Dietitian Or Nutrition ProfessionalID
Orthopedic SurgeryID

Reviews

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Frequently asked questions

What unique ID ties claims to JONATHAN DONALD FISHER (DPM)?
NPI 1891969606 is assigned to JONATHAN DONALD FISHER (DPM) under the national enumeration system.
Is JONATHAN DONALD FISHER (DPM)'s NPI currently valid?
The extract we use shows JONATHAN DONALD FISHER (DPM) as active.
What kind of provider is JONATHAN DONALD FISHER (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for JONATHAN DONALD FISHER (DPM). Clinical services aligned with this taxonomy classification.
What location metadata exists for JONATHAN DONALD FISHER (DPM)?
The page summarizes Ponderay, Idaho for JONATHAN DONALD FISHER (DPM); expand the address list for detail.
Is JONATHAN DONALD FISHER (DPM) a real provider?
This page reflects official NPPES data for NPI 1891969606. Always confirm identity and privileges with the practice and licensing boards.

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