PATRICK CONNOR SPOTTS MD
NPI 1053832212
Emergency Medicine in Idaho Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Emergency Medicine with taxonomy code 207P00000X.

Active since June 28, 2017PECOS Enrolled

2325 CORONADO ST, IDAHO FALLS, ID 83404(864) 416-1090 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 31, 2026, Jul 21, 2022, Jun 28, 2017 (3 updates tracked since 2017).

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About Patrick Connor Spotts Md NPPES

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

PATRICK CONNOR SPOTTS MD (NPI 1053832212) is an individual emergency medicine provider in Idaho Falls, Idaho, licensed in South Carolina (41056) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053832212

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NamePATRICK CONNOR SPOTTSCredential: MD

Location Address2325 CORONADO STIdaho Falls, ID 83404-7407

Mailing Address2325 Coronado StIdaho Falls, ID 83404-7407 · (864) 416-1090

Phone(864) 416-1090

Sole ProprietorNo

Enumeration DateJune 28, 2017

Last NPPES UpdateJanuary 31, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2026

✔ NPI 1053832212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in SC · 41056✔ Licensed in ID · M-14679

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2325 CORONADO ST, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Connor Spotts 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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.

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.

DENNIS C MACIESKI CRNA

Nurse Anesthetist, Certified Registered