Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BONNER GENERAL HOSPITAL, INC
Medicare Clinicians for NPI 1104461649
Ophthalmology in Sandpoint, ID

Active since November 07, 2019CLIA 13D2346758 · Waiver
423 N 3RD AVE STE 110, SANDPOINT, ID 83864(208) 265-1011(208) 265-6271 Get Directions

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Sep 13, 2024, Aug 8, 2024 and 3 more (6 updates tracked since 2019).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Bonner General Hospital, Inc in Sandpoint, ID bills Medicare for 74 clinicians across 14 Medicare specialties. The largest specialties are Diagnostic Radiology with 29, Nurse Practitioner with 14 and Emergency Medicine with 11. Of these, 7 practice at this address and 25 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

74Clinicians
14Medicare specialties
74PECOS enrolled
64Accept Medicare
74 clinicians in 14 specialties

Diagnostic Radiology (29)

Diagnostic Radiology
NPI 1841292620
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1114917606
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-3000
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1962684571
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1932342300
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1598176448
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1447512348
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1114375086
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1194727800
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1912240128
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1962060327
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1891102620
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1730314030
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1356740930
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1366071516
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1750647913
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1306847488
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6309
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1952724361
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1902005663
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1356738207
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1437139938
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1003818717
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1902808793
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6309
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1083024830
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6309
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1649776212
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Diagnostic Radiology
NPI 1497011597
1300 E MULLAN AVE STE 700
Post Falls, ID 83854
(208) 625-5564
✔ PECOS✔ Accepts Medicare43 mi
Diagnostic Radiology
NPI 1538487434
533 S 336TH ST STE C
Federal Way, WA 98003
(253) 661-1700
✔ PECOS✔ Accepts Medicare277 mi
Diagnostic Radiology
NPI 1457771909
1652 UTICA ST
Denver, CO 80204
(260) 450-2305
✔ PECOS✔ Accepts Medicare820 mi
Diagnostic Radiology
NPI 1124559091
7595 ANAGRAM DR
Eden Prairie, MN 55344
(612) 573-2200
✔ PECOS✔ Accepts Medicare1,121 mi
Diagnostic Radiology
NPI 1437771490
2301 ERWIN RD
Durham, NC 27705
(919) 684-8111
✔ PECOS✔ Accepts Medicare2,083 mi

Nurse Practitioner (14)

Nurse Practitioner
NPI 1588912836
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 263-2173
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669756813
423 N 3RD AVE STE 201
Sandpoint, ID 83864
(208) 263-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619107364
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760827372
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700669165
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-0649
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1881566602
520 N 3RD AVE
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1598720989
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1104191089
606 N 3RD AVE STE 203
Sandpoint, ID 83864
(304) 276-9937
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1104425149
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1046
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1942157979
520 N THIRD AVE
Sandpoint, ID 83864
(208) 265-1105
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1275639577
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1356992309
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1619330149
850 W IRONWOOD DR STE 301
Coeur D Alene, ID 83814
(208) 770-3536
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1952042210
105 W 8TH AVE STE 200
Spokane, WA 99204
(509) 624-9112
✔ PECOS✔ Accepts Medicare59 mi

Emergency Medicine (11)

Emergency Medicine
NPI 1487944336
520 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS0.1 mi
Emergency Medicine
NPI 1942944566
520 N 3RD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.6 mi
Emergency Medicine
NPI 1396208070
6640 KANIKSU ST
Bonners Ferry, ID 83805
(208) 267-3141
✔ PECOS31 mi
Emergency Medicine
NPI 1699081083
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts Medicare42 mi
Emergency Medicine
NPI 1407010713
497 S BECK RD
Post Falls, ID 83854
(208) 618-6911
✔ PECOS46 mi
Emergency Medicine
NPI 1942417670
497 S BECK RD
Post Falls, ID 83854
(208) 691-7690
✔ PECOS46 mi
Emergency Medicine
NPI 1225472012
229 S 7TH ST
St Maries, ID 83861
(208) 245-5551
✔ PECOS66 mi
Emergency Medicine
NPI 1730408964
600 E. MAIN STREET
Elma, WA 98541
(360) 346-2222
✔ PECOS✔ Accepts Medicare331 mi
Emergency Medicine
NPI 1386961258
UNM DEPARTMENT OF EMERGENCY MEDICINE MSC11 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 272-5062
✔ PECOS1,043 mi
Emergency Medicine
NPI 1891038501
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 272-5062
✔ PECOS1,043 mi
Emergency Medicine
NPI 1245689108
1842 E. ELM ST.
Tucson, AZ 85719
(520) 626-1187
✔ PECOS1,145 mi

Internal Medicine (4)

Internal Medicine
NPI 1194762732
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 263-6876
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1275038093
6640 KANIKSU ST
Bonners Ferry, ID 83805
(208) 267-3141
✔ PECOS✔ Accepts Medicare31 mi
Internal Medicine
NPI 1487037008
700 S MAIN ST
Moscow, ID 83843
(208) 882-4511
✔ PECOS✔ Accepts Medicare109 mi
Internal Medicine
NPI 1649512286
2131 SOUTH BONITO WAY
Meridian, ID 83642
(650) 544-8888
✔ PECOS✔ Accepts Medicare324 mi

Orthopedic Surgery (4)

Orthopedic Surgery
NPI 1164597431
606 N. 3RD AVENUE SUITE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1306830922
606 N 3RD AVE STE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1891056826
606 N THIRD AVE STE 201
Sandpoint, ID 83864
(208) 263-8597
✔ PECOS✔ Accepts Medicare0.6 mi
Orthopedic Surgery
NPI 1245678085
850 W IRONWOOD DR STE 301
Coeur D Alene, ID 83814
(208) 770-3536
✔ PECOS✔ Accepts Medicare42 mi

Family Practice (3)

Family Practice
NPI 1023276896
423 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1720493638
30410 HIGHWAY 200
Ponderay, ID 83852
(208) 263-7101
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1639862642
465 MEMORIAL DR
Pocatello, ID 83201
(208) 232-7862
✔ PECOS423 mi

Clinical Psychologist (2)

Clinical Psychologist
NPI 1811776859
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1528248333
606 N THIRD AVE STE 203
Sandpoint, ID 83864
(208) 265-1090
✔ PECOS✔ Accepts Medicare0.1 mi

Clinical Social Worker (1)

Clinical Social Worker
NPI 1982076204
606 N 3RD AVE
Sandpoint, ID 83864
(208) 265-1046
✔ PECOS✔ Accepts Medicare0.1 mi

Hospitalist (1)

Hospitalist
NPI 1356322580
101 W 8TH AVE
Spokane, WA 99204
(509) 474-3260
✔ PECOS✔ Accepts Medicare59 mi

Interventional Cardiology (1)

Interventional Cardiology
NPI 1992751648
606 N 3RD AVE SUITE 203
Sandpoint, ID 83864
(208) 263-2505
✔ PECOS✔ Accepts Medicare0.6 mi

Mental Health Counselor (1)

Mental Health Counselor
NPI 1467936039
423 N 3RD AVE STE 210
Sandpoint, ID 83864
(208) 265-2221
✔ PECOS✔ Accepts MedicareSame address

Obstetrics/Gynecology (1)

Obstetrics/Gynecology
NPI 1376742346
980 W IRONWOOD DR STE 306
Coeur D Alene, ID 83814
(208) 625-4970
✔ PECOS✔ Accepts Medicare42 mi

Ophthalmology (1)

Ophthalmology
NPI 1255399457
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-1011
✔ PECOS✔ Accepts MedicareSame address

Urology (1)

Urology
NPI 1285605097
423 N 3RD AVE STE 110
Sandpoint, ID 83864
(208) 265-3342
✔ PECOS✔ Accepts MedicareSame address
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Bonner General Hospital, Inc appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.