Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STEPHEN GENE PLOYHAR
NPI 1104750371
Nurse Practitioner - Family 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, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Ployhar was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 11, 2026PECOS Enrolled

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

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 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 family provider in Coeur D Alene, Idaho, licensed in Idaho (2681314) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104750371

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

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

Enumeration DateJune 11, 2026

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

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

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 2681314

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Gene Ployhar 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 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)