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DOUGLAS FAVOR MD
NPI 1619912953
Emergency Medicine in Pocatello, ID

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
777 HOSPITAL WAY, EMERGENCY DEPT, POCATELLO, ID 83201(208) 417-7569 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas Favor Md NPPES

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

DOUGLAS FAVOR MD (NPI 1619912953) is an individual emergency medicine provider in Pocatello, Idaho, licensed in Idaho (M6949) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1619912953
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS FAVORCredential: MD
Location Address777 HOSPITAL WAY, EMERGENCY DEPTPocatello, ID 83201
Mailing AddressPo Box 64568Phoenix, AZ 85082-4568 · (208) 417-7569 · Fax (480) 585-0051
Phone(208) 417-7569
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1991
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1619912953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M6949
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
777 HOSPITAL WAY, Pocatello, ID 83201
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Secondary Practice Location 1

Location 1651 Memorial DrPocatello, ID 83201-4071 · Phone (208) 239-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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

Douglas Favor 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 ID7315094331
PECOS Enrollment IDI20090413000499
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.

Hospital Affiliations CMS Care Compare

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

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

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.

Other Providers at the Same Location NPPES 20

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

MS. EUNICE GRACE GARDNER PH.D.
Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1710
JESS LUFKIN CRNA
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 716-7215
ROGER A COOK MD
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
JASON MONTGOMERY NP-C
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-2580
ALYSSA M WOODBURY PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1226
SHANNON ALISON WEBB PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
DR. ROBERT MICHAEL KENNEDY M.D.
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Bannock County (208) 239-2722
MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 227-2600

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 Douglas Favor's NPI number?

The NPI number for Douglas Favor is 1619912953. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Douglas Favor located?

Douglas Favor practices at 777 Hospital Way Emergency Dept, Pocatello, ID 83201. The listed phone number is (208) 417-7569.

What is Douglas Favor's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Favor enrolled in Medicare?

Yes. Douglas Favor 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 Douglas Favor accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Douglas Favor 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 Douglas Favor affiliated with any hospitals?

According to CMS data, Douglas Favor is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Favor was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.