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: November 01, 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
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Favor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
1595 YELLOWSTONE AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
Critical Access
203 S DAISY ST
Salmon, ID 83467
  • Reassigned Medicare billing, Idaho enrollment
  • 49 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Specialist/Technologist (Athletic Trainer)
777 HOSPITAL WAY
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 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.

Which organizations bill Medicare for Douglas Favor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Favor reassigns Medicare benefits to 2 organizations: Mountain View Hospital LLC (Pocatello, ID) and Steele Memorial Medical Center (Salmon, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Favor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.