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MR. MARK LUPTON DO
NPI 1134579576
Internal Medicine in Blackfoot, ID

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
700 E ALICE ST, BLACKFOOT, ID 83221(208) 785-1200 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2022, Jun 16, 2016 (2 updates tracked since 2016).

About Mr. Mark Lupton Do NPPES

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

MR. MARK LUPTON DO (NPI 1134579576) is an individual internal medicine provider in Blackfoot, Idaho, licensed in Idaho (OO-0994) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2015).

NPPES Registry Identity

NPI1134579576
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. MARK LUPTONCredential: DO
Location Address700 E ALICE STBlackfoot, ID 83221-4925
Mailing AddressPo Box 400Blackfoot, ID 83221-0400 · (208) 785-1200
Phone(208) 785-1200
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2015
Enumeration DateJune 16, 2016
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1134579576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · OO-0994
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
700 E ALICE ST, Blackfoot, ID 83221
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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

Mr. Mark Lupton Do 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 ID9133492242
PECOS Enrollment IDI20170911002657
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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
141 services25 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
38 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN TODD ALLEN PA-C
Physician Assistant
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
STATE OF IDAHO
Psychologist
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-8506
LUCAS P BELFORD PA
Physician Assistant
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
ANDREW L OLNES MD
Psychiatry & Neurology (Psychiatry)
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
NICKI ELIZABETH MUIR PHARM.D.
Pharmacist
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 782-2735
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Skilled Nursing Facility
700 E ALICE ST, BOX 400
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
HEATHER ADAMS N.P.
Nurse Practitioner (Psychiatric/Mental Health)
700 E ALICE ST
BLACKFOOT, ID 83221
Bingham County (208) 785-1200
JDEE RYAN WILSON MD
Psychiatry & Neurology (Psychiatry)
700 E ALICE ST, STATE HOSPITAL SOUTH
BLACKFOOT, ID 83221
Bingham County (208) 785-1200

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 Lupton's NPI number?

The NPI number for Mark Lupton is 1134579576. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Mark Lupton located?

Mark Lupton practices at 700 E Alice St, Blackfoot, ID 83221. The listed phone number is (208) 785-1200.

What is Mark Lupton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Lupton enrolled in Medicare?

Yes. Mark Lupton 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 Lupton affiliated with any hospitals?

According to CMS data, Mark Lupton is affiliated with Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Lupton was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.