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

Q: 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.

Q: What is Elena Phoutrides's specialty?

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

Q: 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 16 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.

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: August 16, 2026.

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

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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 is a graduate of Other (2017).

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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 3

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

Logan Health - Shelby

Critical Access Hospitals · Shelby, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271328

Location640 Park AveShelby, MT 59474 · Toole 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