DR. DWAINE ANTHONY TESNOHLIDEK (MD) – Surgery Physician, NPI 1437240009
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 GENERAL SURGERY in OR
Provider Addresses for DR. DWAINE ANTHONY TESNOHLIDEK (MD)
351 SW 9TH ST
ONTARIO, OR 979142639
Phone: (541) 881-7184
Fax: (541) 881-7016
Type: Location
1210 NW 16th St
Fruitland, ID 836192202
Phone: (208) 452-8600
Type: Location
St. Luke's Fruitland Medical Plaza, 1210, Northwest 16th Street, Fruitland, Payette County, Idaho, 83619, United States
FRUITLAND, ID 836192202
Phone: (208) 452-8600
Type: Location
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 381-2222
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: 2010-06-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100218000762 | I | General Surgery | OR | TBD |
| I20100621000549 | I | General 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 |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 98 | 97 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 68 | 68 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 60 | 60 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 52 | 52 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 51 | 51 | $0 |
Insurance plans in this area (ZIP 97914)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| - | ID | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| General Surgery | ID | |
| O T O L A R Y N G O L O G Y | ID | |
| - | OR | |
| Physician Assistant | ID |
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