Individual provider Active NPI

Scott Karl Magnuson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Coeur D Alene, ID
National Provider Identifier
1174593404
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
M7860 Issued in ID
Practice address
1686 W Riverstone Dr
Ste 1
Coeur D Alene, ID 83814-5779
Phone
(208) 765-4807
Fax
(208) 765-2903
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X M7860 ID Primary

Addresses

Primary practice location

1686 W Riverstone Dr
Ste 1
Coeur D Alene, ID 83814-5779

Mailing address

1686 W Riverstone Dr
Ste 1
Coeur D Alene, ID 83814-5779
Phone (208) 765-4807

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100218000365 ID Practitioner - Interventional Pain Management 8628036597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Creighton University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management of North Idaho PLLCGroup PAC ID 0547228413, 5 clinicians

Practice addresses (Care Compare)

1686 W Riverstone Dr
Suite 1
Coeur D Alene, ID 83814-5779
Phone (208) 664-2363

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7860IDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management of North Idaho, PLLC CurrentSince Jan 1, 2002 Accepting new patients
North Idaho Pain Center LLC PastSince Oct 1, 2005 Accepting new patients
Helping Hands Chiropractic and Wellness Center Past Accepting new patients

Locations

1686 W Riverstone Dr
Ste 1
Coeur D Alene, ID 83814
Phone (208) 664-2363

1686 W Riverstone Dr
Ste 2
Coeur D Alene, ID 83814
Phone (208) 765-4807

229 S 7th St
#4
Saint Maries, ID 83861

Interoperability endpoints

  • Direct secure messaging: painmanagementofnorthidaho.scottkmagnuson@147567.advancedmd-direct.com
  • Direct secure messaging: smagnuson627371@direct.multicare.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1174593404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 W RIVERSTONE DR",
            "address_2": "STE 1",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145779",
            "telephone_number": "208-765-4807",
            "fax_number": "208-765-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 W RIVERSTONE DR",
            "address_2": "STE 1",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145779",
            "telephone_number": "208-765-4807",
            "fax_number": "208-765-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "SCOTT",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ID",
            "license": "M7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.