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DANIEL PRIOR DO
NPI 1942568118
Surgery in Boise, ID

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
1072 N LIBERTY ST, STE 300, BOISE, ID 83704(208) 302-2300(208) 302-2900 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2019, Jul 14, 2018, Jun 11, 2018 (3 updates tracked since 2018).

About Daniel Prior Do NPPES

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

DANIEL PRIOR DO (NPI 1942568118) is an individual surgery provider in Boise, Idaho, licensed in Idaho (O-1290) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942568118
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDANIEL PRIORCredential: DO
Location Address1072 N LIBERTY ST, STE 300Boise, ID 83704
Mailing Address3340 E Goldstone DrMeridian, ID 83642 · (208) 302-2300 · Fax (208) 302-2900
Phone(208) 302-2300
Fax(208) 302-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 25, 2012
Last NPPES UpdateOctober 17, 20193 updates tracked since enumeration
✔ NPI 1942568118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ID · O-1290✔ Licensed in MD · H84622
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 26696205 (NC)
1072 N LIBERTY ST, Boise, ID 83704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Daniel Prior Do 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 ID7618225756
PECOS Enrollment IDI20200410001694
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 2

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.
26 services22 patients
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.
11 services11 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 83704 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.

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.

BRUCE J ANDERSEN MD
Neurological Surgery
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Ada County (208) 367-4035
COLIN ALAN LYNESS MD
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, STE 303
BOISE, ID 83704
Ada County (208) 302-4200
DR. JULIANA L DIGIOSIA MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
SHANA L TUBACH MD
Pediatrics
1072 N LIBERTY ST, SUITE 203
BOISE, ID 83704
Ada County (208) 302-5800
DR. REBECCA L MCCAFFREY MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
TREASURE VALLEY COLON & RECTAL CLINIC PLLC
Colon & Rectal Surgery
1072 N LIBERTY ST, SUITE 201
BOISE, ID 83704
Ada County (208) 377-2273
KARISSA DEANN KEENAN M.D.
Obstetrics & Gynecology
1072 N LIBERTY ST, STE 100
BOISE, ID 83704
Ada County (208) 302-1200
DR. JACKIE J WHITESELL MD
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Ada County (208) 367-2800

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 Daniel Prior's NPI number?

The NPI number for Daniel Prior is 1942568118. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Daniel Prior located?

Daniel Prior practices at 1072 N Liberty St Ste 300, Boise, ID 83704. The listed phone number is (208) 302-2300.

What is Daniel Prior's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Daniel Prior enrolled in Medicare?

Yes. Daniel Prior 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 Daniel Prior accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Daniel Prior 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 Daniel Prior affiliated with any hospitals?

According to CMS data, Daniel Prior is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Prior was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.