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DR. MARK LEE CAPENER M.D.
NPI 1750489100
Otolaryngology in Idaho Falls, ID

Active since September 20, 2006PECOS Enrolled
2065 E 17TH ST, SUITE B-2, IDAHO FALLS, ID 83404(208) 524-7244(208) 524-1088 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Lee Capener M.d. NPPES

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

DR. MARK LEE CAPENER M.D. (NPI 1750489100) is an individual otolaryngology provider in Idaho Falls, Idaho, licensed in Idaho (8394) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750489100
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARK LEE CAPENERCredential: M.D.
Location Address2065 E 17TH ST, SUITE B-2Idaho Falls, ID 83404-8042
Mailing Address2065 E 17th St, Suite B-2Idaho Falls, ID 83404-8042 · (208) 524-7244 · Fax (208) 524-1088
Phone(208) 524-7244
Fax(208) 524-1088
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 22, 2008
✔ NPI 1750489100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in ID · 8394
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2065 E 17TH ST, Idaho Falls, ID 83404
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Other Identifiers 3

Medicare UPINF90674ID
Medicaid805970200ID
Medicare PIN1105005ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Lee Capener M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
19 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
4%200 patients4/55-star benchmark: 100%
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%286 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%3,716 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%1,393 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%966 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%459 patients1/55-star benchmark: 100%
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…
7%828 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
10%90 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
56%616 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
30%459 patients2/55-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

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

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
2 suppliers26 claims27 services$110.90 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 16

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

MRS. MOLLY SUSAN PHILLIPP C.R.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
OBSTETRICS AND GYNECOLOGY ASSOCIATES OF IDAHO FALLS
Obstetrics & Gynecology
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
IVY A. HANSEN P.A.-C.
Physician Assistant (Medical)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
ALPINE EAR, NOSE & THROAT, P.C
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2065 E 17TH ST, SUITE B
IDAHO FALLS, ID 83404
Bonneville County (208) 524-7244
DR. GENE K. HODGES M.D.
Family Medicine (Adult Medicine)
2065 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-3301
GENE K. HODGES M.D.
Family Medicine
2065 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-3301
MRS. REBECCA A. WESTERGARD P.A.
Physician Assistant (Medical)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
DANIEL K HINCKLEY MD PA
Specialist
2065 E 17TH ST, ST A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-1764

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 Mark Capener's NPI number?

The NPI number for Mark Capener is 1750489100. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Mark Capener located?

Mark Capener practices at 2065 E 17th St Suite B-2, Idaho Falls, ID 83404. The listed phone number is (208) 524-7244.

What is Mark Capener's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Capener enrolled in Medicare?

Yes. Mark Capener is registered in the Medicare PECOS enrollment system.

What insurance does Mark Capener accept?

Health plans from PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Mark Capener 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.

When was this NPI record last updated?

The NPPES record for Mark Capener was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.