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DR. BARRY JUSTIN CUSACK MD
NPI 1720187289
Internal Medicine - Geriatric Medicine in Boise, ID

Active since September 21, 2006
500 WEST FORT ST, (111), BOISE, ID 83702(208) 422-1000(208) 422-1319 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Barry Justin Cusack Md NPPES

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

DR. BARRY JUSTIN CUSACK MD (NPI 1720187289) is an individual geriatric medicine provider in Boise, Idaho, licensed in Idaho (M5678) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1720187289
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. BARRY JUSTIN CUSACKCredential: MD
Location Address500 WEST FORT ST, (111)Boise, ID 83702-4598
Mailing Address9550 Chelan AveGarden City, ID 83714-1264 · (208) 375-8560
Phone(208) 422-1000
Fax(208) 422-1319
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720187289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in ID · M5678
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
500 WEST FORT ST, Boise, ID 83702
Open in Google Maps ↗

Other Identifiers 1

OtherM5678ID · State Medical Licence

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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%41 patients1/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
13%84 patients1/55-star benchmark: 97%
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.

Other Providers at the Same Location NPPES 2

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

DANIEL JOSEPH MAC DONALD MSW, LCSW
Social Worker (Clinical)
500 WEST FORT ST, BOISE VAMC
BOISE, ID 83702
Ada County (208) 422-1145
DR. MICHAEL PESTOTNIK M.D.
Internal Medicine
500 WEST FORT ST, #111R
BOISE, ID 83702
Ada County (208) 422-1314

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 Barry Cusack's NPI number?

The NPI number for Barry Cusack is 1720187289. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Barry Cusack located?

Barry Cusack practices at 500 West Fort St (111), Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Barry Cusack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Barry Cusack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.