JOHN DOUGLAS TRUEBLOOD PAC
NPI 1629047931
Physician Assistant in Cottonwood, ID

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
701 LEWISTON STREET, COTTONWOOD, ID 83522(208) 962-3267(208) 962-3722 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2023, Dec 29, 2020, Feb 20, 2019 (3 updates tracked since 2019).

About John Douglas Trueblood Pac NPPES

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

JOHN DOUGLAS TRUEBLOOD PAC (NPI 1629047931) is an individual physician assistant in Cottonwood, Idaho, licensed in Idaho (PA1623) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629047931
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN DOUGLAS TRUEBLOODCredential: PAC
Location Address701 LEWISTON STREETCottonwood, ID 83522
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 962-3251 · Fax (208) 962-2313
Fax(208) 962-3722
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 17, 2006
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1629047931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ID · PA1623 Licensed in CA · PA16906
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
701 LEWISTON STREET, Cottonwood, ID 83522

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

John Douglas Trueblood Pac 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 ID8820096332
PECOS Enrollment IDI20190218003086
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
89 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
44 services29 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number501332
Location1221 Highland AvenueClarkston, WA 99403 · Asotin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83522 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers58 claims91 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims17 services$1.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers14 claims14 services$102.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers17 claims41 services$42.09 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims71 services$24.25 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers13 claims13 services$65.55 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 11

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

Physical Therapist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Speech-Language Pathologist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Nurse Practitioner (Family)
701 LEWISTON STREET
COTTONWOOD, ID 83522
Physical Therapist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Nurse Practitioner (Family)
701 LEWISTON STREET
COTTONWOOD, ID 83522
Physical Therapist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Nurse Practitioner (Family)
701 LEWISTON STREET
COTTONWOOD, ID 83522
Anesthesiology
701 LEWISTON STREET
COTTONWOOD, ID 83522

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 Trueblood's NPI number?

The NPI number for John Trueblood is 1629047931. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is John Trueblood located?

John Trueblood practices at 701 Lewiston Street, Cottonwood, ID 83522. The listed phone number is (208) 962-3267.

What is John Trueblood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Trueblood enrolled in Medicare?

Yes. John Trueblood 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 Trueblood accept?

Health plans from Providence Health Plan list John Trueblood 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 Trueblood affiliated with any hospitals?

According to CMS data, John Trueblood is affiliated with St Joseph Regional Medical Center, St Marys Hospital And Clinics and Tri-State Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Trueblood was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.