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Active NPI 1528074077 Individual Practitioner Male Practitioner

Dr. John Clark Mayberry , MD

Surgery • Caldwell, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Mayberry, MD is a certified Surgery practicing in Caldwell, ID. With approximately 40 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 1986, Dr. Mayberry delivers high-quality medical care to the local community at 1906 FAIRVIEW AVE STE 130.

Dr. Mayberry is affiliated with Pine Ridge Indian Health Service Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1906 Fairview Ave Ste 130

Caldwell, ID 836055433

Telephone 2084534260
Fax 8442133678
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Caldwell, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +9.5 yrs vs City Avg
City Avg: 30.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Caldwell, ID (187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mayberry (40 Years) 40 Yrs
Caldwell Specialty Average (30.5 Years) 30.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
31 20 $253.87 $113.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
23 22 $400.00 $161.31

Medical Specialties & State Licenses

CMS Verified: 2023-10-03
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID M-12108

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.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License ID M-12108

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Hospital & Practice Group Affiliations

Pine Ridge Indian Health Service Hospital

P O Box 1201 E Hwy 18, Pine Ridge, SD 577701201

Pine Ridge Indian Health Service Hospital

P O Box, Pine Ridge, SD 577701201

Pine Ridge Indian Health Service Hospital

East Hwy 18, Pine Ridge, SD 577701201

Phone: 6058673032

Pine Ridge Indian Health Service Hospital

Po Box 1201 E Hwy 18, Pine Ridge, SD 577701201

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
📍
Updated Practice Location October 03, 2023

Registered at 1906 FAIRVIEW AVE STE 130, CALDWELL, ID 836055433 (Tel: 2084534260)

📍
Updated Business Mailing Address October 03, 2023

Registered at PO BOX 1074, CALDWELL, ID 836061074 (Tel: 2084534260)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2023

Surgery (License #M-12108 in ID)

📍
Updated Practice Location November 25, 2021

Registered at 5565 GROSSMONT CENTER DR STE 221, LA MESA, CA 919423022 (Tel: 6194628100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2021

Surgery (License #M-12108 in ID)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Surgery (License #MD461611 in PA)

NPI Profile Active December 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2017

Registered at 7910 FROST ST STE 250, SAN DIEGO, CA 921232752 (Tel: 5033307728)

📍
Updated Business Mailing Address December 22, 2017

Registered at 315 S COAST HIGHWAY 101 STE U-535, ENCINITAS, CA 920243543 (Tel: 5033307728)

👤
Provider Name / Credentials Updated December 22, 2017

Recorded as JOHN MAYBERRY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2017

Surgery (License #G151173 in CA)

📍
Updated Practice Location August 02, 2017

Registered at 100 HOSPITAL DRIVE, KETCHUM, ID 83340 (Tel: 2087278864)

📍
Updated Business Mailing Address August 02, 2017

Registered at PO BOX 100, KETCHUM, ID 833400100

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Surgery (License #MD15313 in OR)

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 999 N CURTIS RD, SUITE 415, BOISE, ID 837061334 (Tel: 2083677676)

📍
Updated Business Mailing Address June 17, 2014

Registered at 3340 E GOLDSTONE WAY, MERIDIAN, ID 836421026 (Tel: 2083675170)

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as JOHN MAYBERRY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Surgery (License #M-12108 in ID)

🟢
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528074077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: October 03, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 1074

Caldwell, ID 836061074

Phone: 2084534260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.