DR. DAN MCENTIRE (MD) – Internal Medicine Physician, NPI 1417489485
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
76 GASTROENTEROLOGY in ID
Provider Addresses for DR. DAN MCENTIRE (MD)
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 841320002
Phone: (801) 581-2121
Type: Mailing
5080 E Commerce St
Nampa, ID 836875513
Phone: (208) 489-1900
Type: Location
1900 East, Sugar House, Salt Lake City, Salt Lake County, Utah, 84109, United States
ROOM 4C104, DEPARTMENT OF INTERNAL MEDICINE
SALT LAKE CITY, UT 841320002
Phone: (801) 581-7606
Type: Location
6259 W EMERALD ST
BOISE, ID 837048731
Phone: (208) 489-1914
Fax: (208) 375-5286
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $578.
Total Amount is formed as General ($578) + Research ($0) + Ownership ($0) = $578.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($133).
Total Amount
$578
General + Research + Ownership
Payments
28
Total payment records
General Amount
$578
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-10
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 |
|---|---|---|---|---|
| I20240208000004 | I | Gastroenterology | VA | TBD |
| I20240710000812 | I | Gastroenterology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | ID | |
| Internal Medicine, Gastroenterology | CA | |
| G A S T R O E N T E R O L O G Y | ID | |
| - | ID | |
| G A S T R O E N T E R O L O G Y | NV | |
| Nurse Practitioner | ID | |
| - | ID | |
| Gastroenterology, Internal Medicine | ID | |
| G A S T R O E N T E R O L O G Y | ID | |
| Physician Assistant | ID |
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