DR. JOHN ABRAHAM FENSTERMAKER D.O.
NPI 1548581390
Family Medicine in Pocatello, ID

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
1951 BENCH RD, SUITE B, POCATELLO, ID 83201(208) 238-1000(208) 238-0009 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. John Abraham Fenstermaker D.o. NPPES

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

DR. JOHN ABRAHAM FENSTERMAKER D.O. (NPI 1548581390) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (O-0623) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1548581390
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN ABRAHAM FENSTERMAKERCredential: D.O.
Location Address1951 BENCH RD, SUITE BPocatello, ID 83201-2013
Mailing Address1951 Bench Rd, Suite BPocatello, ID 83201-2013 · (208) 238-1000 · Fax (208) 238-0009
Fax(208) 238-0009
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 16, 2010
Last NPPES UpdateNovember 12, 2013
✔ NPI 1548581390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · O-0623✔ Licensed in ID · MR-1113
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.
1951 BENCH RD, Pocatello, ID 83201

Other Identifiers 1

Medicare PIN20003139ID

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

Dr. John Abraham Fenstermaker D.o. 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 ID6002051398
PECOS Enrollment IDI20130709000136
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
185 services85 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
173 services25 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
161 services25 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
94 services56 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
85 services83 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
70 services69 patients

Hospital Affiliations CMS Care Compare 2

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

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

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID
OwnershipGovernment - Local
CMS Certification Number131319
Location1224 8th StreetRupert, ID 83350 · Minidoka County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%29 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$17.31 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$96.91 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 19

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

Optometrist
1951 BENCH RD
POCATELLO, ID 83201
Family Medicine
1951 BENCH RD, SUITE B
POCATELLO, ID 83201
Nurse Practitioner (Family)
1951 BENCH RD, STE B
POCATELLO, ID 83201
Family Medicine
1951 BENCH RD, SUITE B
POCATELLO, ID 83201
Nurse Practitioner (Women's Health)
1951 BENCH RD
POCATELLO, ID 83201
Family Medicine
1951 BENCH RD, SUITE B
POCATELLO, ID 83201
Physical Therapist
1951 BENCH RD, SUITE E
POCATELLO, ID 83201
Radiologic Technologist (Radiography)
1951 BENCH RD, SUITE F
POCATELLO, ID 83201

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 Fenstermaker's NPI number?

The NPI number for John Fenstermaker is 1548581390. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is John Fenstermaker located?

John Fenstermaker practices at 1951 Bench Rd Suite B, Pocatello, ID 83201. The listed phone number is (208) 238-1000.

What is John Fenstermaker's specialty?

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

Is John Fenstermaker enrolled in Medicare?

Yes. John Fenstermaker 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 Fenstermaker accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list John Fenstermaker 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 Fenstermaker affiliated with any hospitals?

According to CMS data, John Fenstermaker is affiliated with Portneuf Medical Center and Minidoka Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Fenstermaker was last updated on November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.