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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL THOMAS LONG DO
NPI 1063114742
Family Medicine in Idaho Falls, ID

Active since March 20, 2023PECOS Enrolled
2265 DESOTO ST, IDAHO FALLS, ID 83404(208) 569-7139 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Thomas Long Do NPPES

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

MICHAEL THOMAS LONG DO (NPI 1063114742) is an individual family medicine provider in Idaho Falls, Idaho, licensed in Idaho (7771476) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063114742
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL THOMAS LONGCredential: DO
Location Address2265 DESOTO STIdaho Falls, ID 83404-7540
Mailing Address2265 Desoto StIdaho Falls, ID 83404-7540 · (208) 569-7139
Phone(208) 569-7139
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1063114742 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 · 7771476
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.

2265 DESOTO ST, Idaho Falls, ID 83404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Thomas Long Do 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

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

LONG MEDICAL PLLC
Family Medicine
2265 DESOTO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 569-7139

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 Michael Long's NPI number?

The NPI number for Michael Long is 1063114742. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Michael Long located?

Michael Long practices at 2265 Desoto St, Idaho Falls, ID 83404. The listed phone number is (208) 569-7139.

What is Michael Long's specialty?

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

Is Michael Long enrolled in Medicare?

Yes. Michael Long is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Long was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.