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MARK A KROPF MD
NPI 1528052636
Family Medicine in Meridian, ID

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
3140 W MILANO DR, SUITE 150, MERIDIAN, ID 83646(208) 887-4775(208) 888-1344 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark A Kropf Md NPPES

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

MARK A KROPF MD (NPI 1528052636) is an individual family medicine provider in Meridian, Idaho, licensed in Idaho (M-9637) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1998).

NPPES Registry Identity

NPI1528052636
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK A KROPFCredential: MD
Location Address3140 W MILANO DR, SUITE 150Meridian, ID 83646-7290
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 887-4775 · Fax (208) 888-1344
Phone(208) 887-4775
Fax(208) 888-1344
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1998
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1528052636 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-9637
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.

3140 W MILANO DR, Meridian, ID 83646
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Other Identifiers 1

Medicare PIN20000378ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, 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 A Kropf 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 ID5193720076
PECOS Enrollment IDI20060927000483
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 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.
27 services22 patients
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.
22 services18 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 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 4

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

KATHRYN S. HITE NP
Nurse Practitioner (Family)
3140 W MILANO DR, SUITE 150
MERIDIAN, ID 83646
Ada County (208) 887-4775
DR. KEVIN J WILSON MD
Family Medicine
3140 W MILANO DR, SUITE 150
MERIDIAN, ID 83646
Ada County (208) 887-4775
MRS. AMY L GALLOWAY NP
Nurse Practitioner (Family)
3140 W MILANO DR, STE 150
MERIDIAN, ID 83646
Ada County (208) 887-4775
CNC, INC.
Physical Therapist
3140 W MILANO DR, SUITE 100
MERIDIAN, ID 83646
Ada County (208) 895-0022

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 Mark Kropf's NPI number?

The NPI number for Mark Kropf is 1528052636. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Mark Kropf located?

Mark Kropf practices at 3140 W Milano Dr Suite 150, Meridian, ID 83646. The listed phone number is (208) 887-4775.

What is Mark Kropf's specialty?

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

Is Mark Kropf enrolled in Medicare?

Yes. Mark Kropf 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 Mark Kropf accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Mark Kropf 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 Mark Kropf affiliated with any hospitals?

According to CMS data, Mark Kropf is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Kropf was last updated on January 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.