DR. MARY BETH OSTROM (M.D.) – Psychiatry Physician, NPI 1972668531

DR. MARY BETH OSTROM (M.D.) is a healthcare provider. based in Idaho falls, Idaho. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. M5589 (ID). The NPI Number for DR. MARY BETH OSTROM (M.D.) is 1972668531

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY BETH OSTROM (M.D.)
NPI
1972668531
Phone
(208) 227-2100
Address
2280 E 25TH ST
Enumeration Date
26 December 2006
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2082272260
Graduation Year
1984 (42 years ago)
PAC ID
3476515917
Group Practice PAC ID
7315184272
Professional Enrollment ID
I20041027001284
Address ID
ID834047542ID2280XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

129 PSYCHIATRY in ID

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Provider Addresses for DR. MARY BETH OSTROM (M.D.)

  • Eastern Idaho Regional Medical Center - Behavioral Health Center, 2280, East 25th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047542

    Phone: (208) 227-2100

    Type: Mailing

  • PO BOX 742358

    ATLANTA, GA 303742358

    Phone:

    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: 2004-10-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041027001284IPsychiatryIDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11431$0
99239Hospital discharge day management, more than 30 minutes2017$0
90792Psychiatric diagnostic evaluation with medical services1817$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 7315184272View full group profile
NameSpecialtyState
Nurse PractitionerID
Nurse PractitionerID
Physician AssistantGA
Nurse PractitionerGA
P S Y C H I A T R YGA
Psychiatry, Pediatric MedicineCO
Nurse PractitionerID

Reviews

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Frequently asked questions

What federal number belongs to DR. MARY BETH OSTROM (M.D.)?
The federal identifier for DR. MARY BETH OSTROM (M.D.) is NPI 1972668531.
Is DR. MARY BETH OSTROM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MARY BETH OSTROM (M.D.)?
The page reflects Psychiatry Physician for DR. MARY BETH OSTROM (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. MARY BETH OSTROM (M.D.)?
We surface Idaho Falls, Idaho for DR. MARY BETH OSTROM (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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