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Active NPI 1043207418 Individual Practitioner Male Practitioner

Dr. John Michael Mcnulty , MD

Orthopaedic Surgery • St Maries, ID

Professional Overview & Biography Verified Profile Summary

Dr. John Mcnulty, MD is a registered healthcare professional specializing in Orthopaedic Surgery in St Maries, ID. Practice services are available at 229 S 8TH ST under active NPI credentials.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 80 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

229 S 8th St
St Maries Family Medicine

St Maries, ID 838611813

Telephone 2082452591
Fax 2082455246
Associated Practice Facility / Clinic
🏢 Benewah Community Hospital Facility NPI 1386632180

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in St Maries, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
2 Specialists

Practicing in St Maries, ID (168 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg
100 57 $115.12 $10.48
20610 Aspiration and/or injection of fluid from large joint
73 51 $290.99 $62.77
99213 Established patient office or other outpatient visit, typically 15 minutes
71 50 $162.42 $83.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
41 41 $253.44 $104.21

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License ID M7646

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1043207418 (MT)
Medicaid State Provider ID
8343854 (WA)
Commercial Insurance / Payer ID Blue Cross Of Id
27805 (ID)
Commercial Insurance / Payer ID Regence Bs Of Id
000010000790 (ID)
Commercial Insurance / Payer ID Dept Of Labor & Industrie
124834 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Donald Gandy , DO

Internal Medicine

NPI 1073552808

Doctor of Osteopathic Medicine (D.O.)

Dr. Karen Libsch , MD

Family Medicine

NPI 1114996428

Doctor of Medicine (M.D.)

NPI 1205810025

Doctor of Medicine (M.D.)

Dr. Craig Burns , MD

Emergency Medicine

NPI 1225472012

Doctor of Medicine (M.D.)

NPI 1255351458

Doctor of Medicine (M.D.)

Aaron Vizcarra , CRNA

Nurse Anesthetist, Certified Registered

NPI 1306253893

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2008

Registered at 229 S 8TH ST, ST MARIES FAMILY MEDICINE, ST MARIES, ID 838611813 (Tel: 2082452591)

📍
Updated Business Mailing Address March 04, 2008

Registered at 229 S 8TH ST, ST MARIES FAMILY MEDICINE, ST MARIES, ID 838611813 (Tel: 2082452591)

👤
Provider Name / Credentials Updated March 04, 2008

Recorded as JOHN MCNULTY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2008

Orthopaedic Surgery (License #M7646 in ID)

🟢
Initial NPI Registration & Enumeration September 30, 2005

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: 1043207418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: March 04, 2008
Sole Proprietor: No

Mailing Address

229 S 8th St, St Maries Family Medicine

St Maries, ID 838611813

Phone: 2082452591

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.