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ALVIN JACKSON SECREST III MD
NPI 1053314864
Family Medicine in Cottonwood, ID

Active since May 24, 2005
27.19/100
CMS Quality Rating
701 LEWISTON ST, COTTONWOOD, ID 83522(208) 962-3267(208) 962-2313 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Alvin Jackson Secrest Iii Md NPPES

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

ALVIN JACKSON SECREST III MD (NPI 1053314864) is an individual family medicine provider in Cottonwood, Idaho, licensed in Idaho (M6256) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1053314864
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALVIN JACKSON SECREST IIICredential: MD
Location Address701 LEWISTON STCottonwood, ID 83522-9750
Mailing AddressPo Box 565Cottonwood, ID 83522-0565 · (208) 962-3267 · Fax (208) 962-2313
Phone(208) 962-3267
Fax(208) 962-2313
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1053314864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M6256
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.
701 LEWISTON ST, Cottonwood, ID 83522
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Other Identifiers 1

Medicaid002284400ID

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.

27.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities20
Cost59.87

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.

MS. BERNADETTE JAMIE RUNDHAUG MED
Counselor (Professional)
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3251
TEMA LYNN JESSUP DO
Family Medicine
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3251
TODD K. MCALLISTER CRNA
Nurse Anesthetist, Certified Registered
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3267
REBECCA S KIRK-EWING RN CDE
Registered Nurse (Diabetes Educator)
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3251
ST. MARY'S HOSPITAL, INC.
Family Medicine
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3267
ST. MARY'S HOSPITAL, INC.
Durable Medical Equipment & Medical Supplies
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3251
ST. MARY'S HOSPITAL
Nurse Anesthetist, Certified Registered
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3251
HALEY J MINNEHAN MD
Family Medicine
701 LEWISTON ST
COTTONWOOD, ID 83522
Idaho County (208) 962-3267

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 Alvin Secrest's NPI number?

The NPI number for Alvin Secrest is 1053314864. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Alvin Secrest located?

Alvin Secrest practices at 701 Lewiston St, Cottonwood, ID 83522. The listed phone number is (208) 962-3267.

What is Alvin Secrest's specialty?

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

When was this NPI record last updated?

The NPPES record for Alvin Secrest was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.