MARK DAHLE MD
NPI 1174187587
Family Medicine in Rupert, ID

Q: What is Mark Dahle's NPI number?

The NPI number for Mark Dahle is 1174187587. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Mark Dahle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Dahle was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 01, 2019PECOS EnrolledAccepts Medicare Assignment

1308 8TH ST STE 1, RUPERT, ID 83350(208) 436-4322(208) 436-1312 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Aug 25, 2023, May 1, 2019 (3 updates tracked since 2019).

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About Mark Dahle Md NPPES

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

MARK DAHLE MD (NPI 1174187587) is an individual family medicine provider in Rupert, Idaho, licensed in Idaho (M-16342) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Minidoka Memorial Hospital, and maintains a secondary practice location in Rupert.

NPPES Registry Identity

NPI1174187587

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK DAHLECredential: MD

Location Address1308 8TH ST STE 1Rupert, ID 83350-1535

Mailing Address1224 8th StreetRupert, ID 83350-1527 · (208) 434-8236 · Fax (208) 436-6038

Phone(208) 436-4322

Fax(208) 436-1312

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 1, 2019

Last NPPES UpdateJune 5, 20253 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1174187587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M-16342

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1308 8TH ST STE 1, Rupert, ID 83350

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Secondary Practice Location 1

Location 11224 8th StreetRupert, ID 83350-1527 · Phone (208) 436-0481 · Fax (208) 436-0500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Dahle Md 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 ID2365779931

PECOS Enrollment IDI20221026001606

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 2

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

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID

OwnershipGovernment - Local

CMS Certification Number131319

Location1224 8th StreetRupert, ID 83350 · Minidoka County

Emergency services

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number131326

Location1501 Hiland AvenueBurley, ID 83318 · Cassia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83350 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 10

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

ALEKSANDR DOROSHKIN MD

Family Medicine