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MARK PRUITT D.O.
NPI 1124432943
Emergency Medicine in Bonners Ferry, ID

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
6640 KANIKSU ST, BONNERS FERRY, ID 83805(208) 267-3141 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Pruitt D.o. NPPES

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

MARK PRUITT D.O. (NPI 1124432943) is an individual emergency medicine provider in Bonners Ferry, Idaho, licensed in Idaho (O-1105) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Boundary Community Hospital, and maintains a secondary practice location in Newport.

NPPES Registry Identity

NPI1124432943
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK PRUITTCredential: D.O.
Location Address6640 KANIKSU STBonners Ferry, ID 83805
Mailing Address6640 Kaniksu StBonners Ferry, ID 83805-7532 · (208) 267-3141
Phone(208) 267-3141
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateJune 25, 2019
✔ NPI 1124432943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · O-1105
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6640 KANIKSU ST, Bonners Ferry, ID 83805
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Secondary Practice Location 1

Location 1714 W Pine StNewport, WA 99156-9046 · Phone (509) 447-2441

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

Mark Pruitt D.o. 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 ID2466741665
PECOS Enrollment IDI20180705003041
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.

Hospital Affiliations CMS Care Compare

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

Boundary Community Hospital

Critical Access Hospitals · Bonners Ferry, ID
OwnershipVoluntary non-profit - Other
CMS Certification Number131301
Location6640 Kaniksu StreetBonners Ferry, ID 83805 · Boundary County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83805 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$107.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RILEY DIEHL DO
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
BOUNDARY COMMUNITY HOSPITAL
Pharmacy (Long Term Care Pharmacy)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850
BOUNDARY COMMUNITY HOSPITAL
Skilled Nursing Facility
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850
MATTHEW WALLACE JOHNSON DO
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
ROBERT YOST MD
Emergency Medicine
6640 KANIKSU ST, BOUNDAR COMMUNITY HOSPITAL
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
DR. WILLIAM PAUL DIEHL IV D.O.
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
MRS. MELANIE HELMS RN
Registered Nurse (Medical-Surgical)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
BOUNDARY COMMUNITY HOSPITAL
Medicare Defined Swing Bed Unit
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850

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 Mark Pruitt's NPI number?

The NPI number for Mark Pruitt is 1124432943. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Mark Pruitt located?

Mark Pruitt practices at 6640 Kaniksu St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-3141.

What is Mark Pruitt's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Pruitt enrolled in Medicare?

Yes. Mark Pruitt 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.

Is Mark Pruitt affiliated with any hospitals?

According to CMS data, Mark Pruitt is affiliated with Boundary Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Pruitt was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.