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

STEPHEN GENE PLOYHAR
NPI 1104750371
Nurse Practitioner in Coeur D Alene, ID

Q: What is Stephen Ployhar's NPI number?

The NPI number for Stephen Ployhar is 1104750371. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Q: What is Stephen Ployhar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Ployhar was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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 June 11, 2026PECOS Enrolled

1090 W PARK PL, COEUR D ALENE, ID 83814(208) 415-0299 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Stephen Gene Ployhar NPPES

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

STEPHEN GENE PLOYHAR (NPI 1104750371) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (2681314) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104750371

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSTEPHEN GENE PLOYHAR

Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785

Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299 · Fax (208) 625-2070

Phone(208) 415-0299

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 11, 2026

Last NPPES UpdateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1104750371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · 2681314

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1090 W PARK PL, Coeur D Alene, ID 83814

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Gene Ployhar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335608009

PECOS Enrollment IDI20260824004285

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 Reassignment

Medicare enrollment records show Stephen Ployhar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dirne Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

1090 W PARK PLACE
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
81 clinicians in this Medicare group

NPI 1285686477 (208) 215-2005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

DEBORAH MAGNUSON APRN

Nurse Practitioner (Pediatrics)