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DR. JOSEPH PATRICK FETZEK M.D.
NPI 1154475556
Dermatology in Boise, ID

Active since January 22, 2007PECOS Enrolled
6111 W OVERLAND RD, BOISE, ID 83709(208) 377-0450 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph Patrick Fetzek M.d. NPPES

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

DR. JOSEPH PATRICK FETZEK M.D. (NPI 1154475556) is an individual dermatology provider in Boise, Idaho, licensed in Idaho (M3365) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154475556
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JOSEPH PATRICK FETZEKCredential: M.D.
Location Address6111 W OVERLAND RDBoise, ID 83709-3018
Mailing Address10222 Summerwind DrBoise, ID 83704-3950 · (208) 377-3427
Phone(208) 377-0450
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154475556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in ID · M3365
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6111 W OVERLAND RD, Boise, ID 83709
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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 (PECOS)

Dr. Joseph Patrick Fetzek M.d. 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 83709 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Joseph Fetzek's NPI number?

The NPI number for Joseph Fetzek is 1154475556. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Joseph Fetzek located?

Joseph Fetzek practices at 6111 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 377-0450.

What is Joseph Fetzek's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Joseph Fetzek enrolled in Medicare?

Yes. Joseph Fetzek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Fetzek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.