Mark Lupton, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OO-0994 Issued in ID

Practice address

700 E Alice St
Blackfoot, ID 83221-4925

Phone

(208) 785-1200

NPI assigned

Jun 16, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Emergency Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Idaho Department of Health and WelfareGroup PAC ID 6002878527, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• State of Idaho Department of Health and Welfare

  • Skilled Nursing Facility
  • Blackfoot, ID
  • NPI 1518022342

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CC Pocatello LLC

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1538517156
  Medicare reassignment NPD
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment NPD
• Community Care Pocatello PLLC

  • Urgent Care Clinic/Center
  • Pocatello, ID
  • NPI 1265714760
  NPD
• State of Idaho Department of Health and Welfare

  • Clinic/Center
  • Blackfoot, ID
  • NPI 1538225545
  NPD
• State of Idaho Department of Health and Welfare

  • Psychiatric Hospital
  • Orofino, ID
  • NPI 1598831653
  NPD
• State of Idaho Department of Health and Welfare

  • Skilled Nursing Facility
  • Blackfoot, ID
  • NPI 1518022342
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1134579576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210400",
            "telephone_number": "208-785-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E ALICE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832214925",
            "telephone_number": "208-785-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPTON",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "OO-0994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Emily Jeanne Lindorfer, M.S., CF-SLP
• Yezenia Lora-Salas
• Stephenie Dee Lords, RD, LD, CDCES
• Terri Love
• Jordan Lyon, LMSW
• Joshua Mackenzie
• Kywnynn Madsen
• Scott Ryan Mangum, PA-C
• Allison Marotz, REGISTERED DIETITIAN

• Internal Medicine Physician in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.