MR. CRAIG D SCOVILLE MD
NPI 1194818997
Internal Medicine - Rheumatology in Idaho Falls, ID

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
2220 E 25TH ST, IDAHO FALLS, ID 83404(208) 542-9080(208) 542-9081 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Craig D Scoville Md NPPES

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

MR. CRAIG D SCOVILLE MD (NPI 1194818997) is an individual rheumatology provider in Idaho Falls, Idaho, licensed in Idaho (M5232) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1982).

NPPES Registry Identity

NPI1194818997
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMR. CRAIG D SCOVILLECredential: MD
Location Address2220 E 25TH STIdaho Falls, ID 83404-7542
Mailing Address2220 E 25th StIdaho Falls, ID 83404-7542 · (208) 542-9080 · Fax (208) 542-9081
Fax(208) 542-9081
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1982
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 12, 2013
NPI 1194818997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in ID · M5232
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2220 E 25TH ST, Idaho Falls, ID 83404

Other Identifiers 3

Medicaid003958200ID
Medicare UPINB63913
Medicare ID-Type Unspecified1119462

Accepted 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

Mr. Craig D Scoville 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 ID4385627504
PECOS Enrollment IDI20040609001030
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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services84 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
61 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131313
Location120 East Howard AveDriggs, ID 83422 · Teton County
Emergency services

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 83404 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,921 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
32%2,921 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
88%1,110 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
93%912 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Dietitian, Registered (Nutrition, Metabolic)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered (Nutrition, Metabolic)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered
2220 E 25TH ST
IDAHO FALLS, ID 83404
Internal Medicine (Rheumatology)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2220 E 25TH ST
IDAHO FALLS, ID 83404
Dietitian, Registered
2220 E 25TH ST
IDAHO FALLS, ID 83404
Clinical Medical Laboratory
2220 E 25TH ST
IDAHO FALLS, ID 83404

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 Craig Scoville's NPI number?

The NPI number for Craig Scoville is 1194818997. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Craig Scoville located?

Craig Scoville practices at 2220 E 25th St, Idaho Falls, ID 83404. The listed phone number is (208) 542-9080.

What is Craig Scoville's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Craig Scoville enrolled in Medicare?

Yes. Craig Scoville 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.

What insurance does Craig Scoville accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Craig Scoville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Craig Scoville affiliated with any hospitals?

According to CMS data, Craig Scoville is affiliated with Madison Memorial Hospital, Portneuf Medical Center, Mountain View Hospital, Teton Valley Hospital and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Craig Scoville was last updated on July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.