JOHN J MYTYCH D.P.M.
NPI 1457452476
Podiatrist - Foot & Ankle Surgery in Coeur D Alene, ID

Q: What is John Mytych's NPI number?

The NPI number for John Mytych is 1457452476. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is John Mytych's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for John Mytych was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 25, 2006PECOS EnrolledAccepts Medicare Assignment

96.43/100

CMS Quality Rating

2120 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814(208) 625-6944(208) 625-6945 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Apr 13, 2022, Dec 2, 2021 and 1 more (4 updates tracked since 2020).

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About John J Mytych D.p.m. NPPES

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

JOHN J MYTYCH D.P.M. (NPI 1457452476) is an individual foot & ankle surgery provider in Coeur D Alene, Idaho, licensed in Idaho (3271756) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457452476

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameJOHN J MYTYCHCredential: D.P.M.

Location Address2120 W IRONWOOD CENTER DRCoeur D Alene, ID 83814-2639

Mailing Address280 S Main StBountiful, UT 84010-6236 · (801) 505-0821 · Fax (801) 505-0803

Phone(208) 625-6944

Fax(208) 625-6945

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJune 17, 20254 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1457452476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in ID · 3271756✔ Licensed in UT · 10140276-0501✔ Licensed in IL · 016005082

2120 W IRONWOOD CENTER DR, Coeur D Alene, ID 83814

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Secondary Practice Locations 2

Location 12159 S 700 E Ste 150Salt Lake City, UT 84106-2279 · Phone (801) 466-1333 · Fax (801) 466-6601

Location 2962 Chambers StOgden, UT 84403-5087 · Phone (801) 373-2499 · Fax (801) 373-5200

Other Identifiers 3

OtherQ00214425UT · Rr Medicare

OtherU00011270UT · Medicare Ptan

Other10140276-0501UT · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Premera Blue Cross Blue Shield of Alaska and more.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

John J Mytych D.p.m. 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 ID8123929296

PECOS Enrollment IDI20250530000532

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 6

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.

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

93 services42 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

71 services26 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

61 services30 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

53 services28 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

29 services18 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

23 services12 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

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.

96.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.5

Improvement Activities

Other Providers at the Same Location NPPES 4

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

DR. SEAN TRISTAN LAWRENCE COOK D.O.

Internal Medicine (Infectious Disease)

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

JENNIFER RAE STALLINGS NP

Nurse Practitioner

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

DAVID BRYAN GIERUT APRN

Nurse Practitioner (Gerontology)

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

DR. MELANIE ENDERWICK MD

Internal Medicine (Infectious Disease)

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

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 John Mytych's NPI number?

The NPI number for John Mytych is 1457452476. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is John Mytych located?

John Mytych practices at 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6944.

What is John Mytych's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Mytych enrolled in Medicare?

Yes. John Mytych 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 John Mytych accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Utah list John Mytych 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 John Mytych affiliated with any hospitals?

According to CMS data, John Mytych is affiliated with Kootenai Health.

When was this NPI record last updated?

The NPPES record for John Mytych was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.