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JONATHAN MOORE SHUPE M.D.
NPI 1417241597
Family Medicine in Coeur D Alene, ID

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
1919 LINCOLN WAY, 315, COEUR D ALENE, ID 83814(208) 625-6000(208) 625-6001 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2020, Jan 18, 2017, Jan 29, 2016 (3 updates tracked since 2016).

About Jonathan Moore Shupe M.d. NPPES

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

JONATHAN MOORE SHUPE M.D. (NPI 1417241597) is an individual family medicine provider in Coeur D Alene, Idaho, licensed in Idaho (M12445) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of University Of Connecticut School Of Medicine (2011).

NPPES Registry Identity

NPI1417241597
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN MOORE SHUPECredential: M.D.
Location Address1919 LINCOLN WAY, 315Coeur D Alene, ID 83814-2527
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5085 · Fax (208) 625-5731
Phone(208) 625-6000
Fax(208) 625-6001
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2011
Enumeration DateJune 6, 2011
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1417241597 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 · M12445
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.
1919 LINCOLN WAY, Coeur D Alene, ID 83814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, 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

Jonathan Moore Shupe M.d. 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 ID9234355686
PECOS Enrollment IDI20140722000198
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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
168 services129 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims68 services$2.45 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$16.91 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers29 claims29 services$33.95 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
3 suppliers31 claims31 services$83.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier13 claims13 services$185.23 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 16

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

RYAN JOHN GILLES MD
Family Medicine
1919 LINCOLN WAY, 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
CRYSTAL LEE PYRAK MD
Family Medicine
1919 LINCOLN WAY, STE 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
DR. MARIA R RODEBAUGH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1919 LINCOLN WAY, 211
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5500
MARIE NOEL SWART MD
Student in an Organized Health Care Education/Training Program
1919 LINCOLN WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
MR. TIMOTHY JAMES DOTY PA
Physician Assistant
1919 LINCOLN WAY, 415
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4595
DR. KEVIN ROBERT WEBB M.D.
Internal Medicine (Gastroenterology)
1919 LINCOLN WAY, STE 415
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4595
BRITTANY T FICEK FNP
Nurse Practitioner
1919 LINCOLN WAY, 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
KATHERINE E NICOLICH DO
Student in an Organized Health Care Education/Training Program
1919 LINCOLN WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000

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 Jonathan Shupe's NPI number?

The NPI number for Jonathan Shupe is 1417241597. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Jonathan Shupe located?

Jonathan Shupe practices at 1919 Lincoln Way 315, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6000.

What is Jonathan Shupe's specialty?

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

Is Jonathan Shupe enrolled in Medicare?

Yes. Jonathan Shupe 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 Jonathan Shupe accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jonathan Shupe 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 Jonathan Shupe affiliated with any hospitals?

According to CMS data, Jonathan Shupe is affiliated with Kootenai Health.

When was this NPI record last updated?

The NPPES record for Jonathan Shupe was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.