1. Home
  2. Directory
  3. Idaho
  4. Rupert
  5. Family Medicine
  6. NPI Profile

CHARLES MALCOLM CLAIR JR. MD
NPI 1003012204
Family Medicine in Rupert, ID

Active since June 25, 2007PECOS Enrolled
1224 8TH ST, RUPERT, ID 83350(208) 436-0481(208) 436-6038 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2025, May 11, 2022, May 6, 2020 and 2 more (5 updates tracked since 2017).

About Charles Malcolm Clair Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES MALCOLM CLAIR JR. MD (NPI 1003012204) is an individual family medicine provider in Rupert, Idaho, licensed in Idaho (M-10525) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1003012204
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES MALCOLM CLAIR JR.Credential: MD
Location Address1224 8TH STRupert, ID 83350-1599
Mailing Address1322 Stoneridge DrPocatello, ID 83201-5043 · (208) 436-0481
Phone(208) 436-0481
Fax(208) 436-6038
Sole ProprietorYes
Enumeration DateJune 25, 2007
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1003012204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M-10525
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License M-10525 (ID)
1224 8TH ST, Rupert, ID 83350
Open in Google Maps ↗

Secondary Practice Location 1

Location 11071 Renee AvePocatello, ID 83201-2508 · Phone (208) 252-5602 · Fax (208) 269-7094

Other Identifiers 1

Other11479847Aamc Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Malcolm Clair Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Clair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minidoka Memorial Hospital
Same address
Emergency Care
1224 8TH ST
Rupert, ID 83350
  • Reassigned Medicare billing, Idaho enrollment
  • 61 clinicians in this Medicare group
NPI 1134333495 (208) 436-0481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
73 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
84%75 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier53 claims53 services$20.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier68 claims68 services$110.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINIDOKA MEMORIAL HOSPITAL
Skilled Nursing Facility
1224 8TH ST
RUPERT, ID 83350
Minidoka County (208) 436-0481
MINIDOKA MEMORIAL HOSPITAL CRNA GROUP
Nurse Anesthetist, Certified Registered
1224 8TH ST
RUPERT, ID 83350
Minidoka County (208) 436-0481
DR. JESSICA BAGBY MD
Emergency Medicine
1224 8TH ST
RUPERT, ID 83350
Minidoka County (208) 436-0481
MINIDOKA MEMORIAL HOSPITAL
Clinic/Center (Emergency Care)
1224 8TH ST
RUPERT, ID 83350
Minidoka County (208) 436-0481
MRS. DAVEE CARPENTER MUSSMANN DPT
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Minidoka County (208) 436-9016
ALLISON ROPER SERR FNP-C
Nurse Practitioner (Family)
1224 8TH ST
RUPERT, ID 83350
Minidoka County (208) 436-0481
MR. JEFFERY D. BALDWIN P.T.
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Minidoka County (208) 436-9016
MRS. RACHEL D DURRANT MS, CCC-SLP
Speech-Language Pathologist
1224 8TH ST
RUPERT, ID 83350
Minidoka County (435) 681-0330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Clair's NPI number?

The NPI number for Charles Clair is 1003012204. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Charles Clair located?

Charles Clair practices at 1224 8th St, Rupert, ID 83350. The listed phone number is (208) 436-0481.

What is Charles Clair's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Clair enrolled in Medicare?

Yes. Charles Clair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Clair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Clair reassigns Medicare benefits to Minidoka Memorial Hospital (Rupert, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Clair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Clair was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.