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ELENA KATHERINE PHOUTRIDES MD
NPI 1093149429
Family Medicine in Mccall, ID

Active since August 21, 2013PECOS EnrolledAccepts Medicare Assignment
1000 STATE ST, MCCALL, ID 83638(208) 634-2221(208) 634-7112 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Aug 24, 2020 (2 updates tracked since 2020).

About Elena Katherine Phoutrides Md NPPES

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

ELENA KATHERINE PHOUTRIDES MD (NPI 1093149429) is an individual family medicine provider in Mccall, Idaho, licensed in Idaho (M-15295) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with P H S Indian Hospital At Browning - Blackfeet, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1093149429
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELENA KATHERINE PHOUTRIDESCredential: MD
Location Address1000 STATE STMccall, ID 83638-3704
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 634-2221
Fax(208) 634-7112
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 21, 2013
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1093149429 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-15295
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 STATE ST, Mccall, ID 83638
Open in Google Maps ↗

Secondary Practice Location 1

Location 1325 W Idaho StBoise, ID 83702-6040 · Phone (208) 514-2525 · Fax (208) 375-2217

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elena Katherine Phoutrides Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466877758
PECOS Enrollment IDI20220517000025
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 Reassignments

2

Medicare enrollment records show Elena Phoutrides reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic - Mccall LLC
Same address
Family Medicine
1000 STATE ST
Mccall, ID 83638
  • Reassigned Medicare billing, Idaho enrollment
  • 39 clinicians in this Medicare group
NPI 1881982510 (208) 634-2221
U S Health Dept Of Health & Human Services
280 mi
Clinic/Center
81 DISNEY STREET
Heart Butte, MT 59448
  • Reassigned Medicare billing, Texas enrollment
  • 306 clinicians in this Medicare group
NPI 1598867848 (406) 338-6151

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 2

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

P H S Indian Hospital At Browning - Blackfeet

Acute Care Hospitals · Browning, MT
OwnershipGovernment - Federal
CMS Certification Number270074
Location760 Hospital Circle, Post Office Box 760Browning, MT 59417 · Glacier County
Emergency services

Northern Rockies Medical Center

Critical Access Hospitals · Cut Bank, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271337
Location802 2nd St SECut Bank, MT 59427 · Glacier County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83638 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.

ST LUKES MCCALL, LTD
Medicare Defined Swing Bed Unit
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-4061
ST LUKES MCCALL LTD
General Acute Care Hospital (Critical Access)
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-2221
DR. DAVID G. BURICA MD
Internal Medicine
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-1776
TIFFANY M DOBBS I
Massage Therapist
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-1400
JACKIE J TURNIPSEED-AYMON PA-C
Physician Assistant
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-1776
PLANET THREE RADIOLOGY, INC.
Radiology (Diagnostic Radiology)
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-2221
ANDREA LINGLE
Pharmacist
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 630-2283
ST LUKES MCCALL, LTD
Hospitalist
1000 STATE ST
MCCALL, ID 83638
Valley County (208) 634-2221

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 Elena Phoutrides's NPI number?

The NPI number for Elena Phoutrides is 1093149429. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Elena Phoutrides located?

Elena Phoutrides practices at 1000 State St, Mccall, ID 83638. The listed phone number is (208) 634-2221.

What is Elena Phoutrides's specialty?

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

Is Elena Phoutrides enrolled in Medicare?

Yes. Elena Phoutrides is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elena Phoutrides's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Phoutrides reassigns Medicare benefits to 2 organizations: St Lukes Clinic - Mccall LLC (Mccall, ID) and U S Health Dept Of Health & Human Services (Heart Butte, MT). Each 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 Elena Phoutrides's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elena Phoutrides accept?

Health plans from Providence Health Plan list Elena Phoutrides as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elena Phoutrides affiliated with any hospitals?

According to CMS data, Elena Phoutrides is affiliated with P H S Indian Hospital At Browning - Blackfeet and Northern Rockies Medical Center.

When was this NPI record last updated?

The NPPES record for Elena Phoutrides was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.