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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARY DOLORES DVORAK MD
NPI 1780676239
Internal Medicine in Mountain Home A F B, ID

Active since August 19, 2005PECOS Enrolled
90 HOPE DR, 366 MDG/SGH, MOUNTAIN HOME A F B, ID 83648(208) 828-7655 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Dolores Dvorak Md NPPES

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

DR. MARY DOLORES DVORAK MD (NPI 1780676239) is an individual internal medicine provider in Mountain Home A F B, Idaho, licensed in Pennsylvania (MD042672L) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780676239
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARY DOLORES DVORAKCredential: MD
Location Address90 HOPE DR, 366 MDG/SGHMountain Home A F B, ID 83648-1057
Mailing Address1420 Cambridge StNatrona Heights, PA 15065-1306
Phone(208) 828-7655
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1780676239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD042672L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
90 HOPE DR, Mountain Home A F B, ID 83648
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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. Mary Dolores Dvorak Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83648 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
$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.

KIRSTY LYNN HOUSE IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR, 366TH MEDICAL GROUP
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-6806
JACQUELINE A SHAFER LCSW
Social Worker (Clinical)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7531
CASEY ELIZABETH LYNCH WHNP-BC
Nurse Practitioner (Women's Health)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-6806
MR. DENNIS JACOB REUTER IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (360) 304-2048
DR. NATHAN TUAEFU PALMER M.D.
Family Medicine
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (907) 903-9212
MR. STEVE A. NEFF MSW
Counselor
90 HOPE DR, 366 MEDGRP (ACC)/FAMILY ADVOCACY
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7520
DR. ERIC DOUGLAS NIELSEN O.D.
Optometrist
90 HOPE DR, OPTOMETRY CLINIC
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7250
DR. JENNIFER LYNN HUDSON D.O.
Obstetrics & Gynecology
90 HOPE DR, 366 MEDICAL GROUP, WOMEN'S HEALTH
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 282-7567

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 Mary Dvorak's NPI number?

The NPI number for Mary Dvorak is 1780676239. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Mary Dvorak located?

Mary Dvorak practices at 90 Hope Dr 366 Mdg/Sgh, Mountain Home A F B, ID 83648. The listed phone number is (208) 828-7655.

What is Mary Dvorak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Dvorak enrolled in Medicare?

Yes. Mary Dvorak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Dvorak was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.