Active NPI
Scott Karl Magnuson, MD
- Pain Medicine (Anesthesiology) Physician
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- M7860
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Northwest Specialty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| M7860 | ID | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management of North Idaho, PLLC | Current | Accepting new patients | |
| North Idaho Pain Center LLC | Past | 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
- painmanagementofnorthidaho.scottkmagnuson@147567.advancedmd-direct.com
- 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.
-
- Interventional Pain Medicine Physician
- Coeur D Alene, ID
- NPI 1467583153
-
- Primary Care Clinic/Center
- Coeur D Alene, ID
- NPI 1194126003
-
- Ambulatory Surgical Clinic/Center
- Coeur D Alene, ID
- NPI 1104896422
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.