MARK THOMAS PYBURN NP
NPI 1871206789
Nurse Practitioner in Meridian, ID

Active since January 05, 2023PECOS EnrolledAccepts Medicare Assignment
867 S VANGUARD WAY, MERIDIAN, ID 83642(208) 302-7950(208) 302-7955 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2024, Jan 5, 2023 (2 updates tracked since 2023).

About Mark Thomas Pyburn Np NPPES

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

MARK THOMAS PYBURN NP (NPI 1871206789) is an individual nurse practitioner in Meridian, Idaho, licensed in Idaho (74921) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1871206789
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARK THOMAS PYBURNCredential: NP
Location Address867 S VANGUARD WAYMeridian, ID 83642-7552
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170
Fax(208) 302-7955
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 5, 2023
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1871206789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in ID · 74921
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

867 S VANGUARD WAY, Meridian, ID 83642

Secondary Practice Location 1

Location 18971 W Overland RdBoise, ID 83709-1651 · Phone (208) 378-4288

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

Mark Thomas Pyburn Np 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 ID4385017524
PECOS Enrollment IDI20230308002434
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services91 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.
32 services32 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
26 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services22 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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 3

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

Family Medicine (Sports Medicine)
867 S VANGUARD WAY
MERIDIAN, ID 83642
Physician Assistant
867 S VANGUARD WAY
MERIDIAN, ID 83642
Nurse Practitioner
867 S VANGUARD WAY
MERIDIAN, ID 83642

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 Pyburn's NPI number?

The NPI number for Mark Pyburn is 1871206789. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Mark Pyburn located?

Mark Pyburn practices at 867 S Vanguard Way, Meridian, ID 83642. The listed phone number is (208) 302-7950.

What is Mark Pyburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Pyburn enrolled in Medicare?

Yes. Mark Pyburn 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 Mark Pyburn accept?

Health plans from Moda Health Plan, Inc. and Select Health list Mark Pyburn 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 Mark Pyburn affiliated with any hospitals?

According to CMS data, Mark Pyburn is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Pyburn was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.