NPIMap

Individual provider Active NPI

Patrick Clark Marvil, MD

  • Family Medicine Physician
  • Post Falls, ID
National Provider Identifier
1235629304
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-14925 Issued in ID
Practice address
1220 E Polston Ave
Post Falls, ID 83854-6056
Phone
(208) 773-1577
Fax
(208) 773-1577
NPI assigned
May 15, 2018
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-14925 ID
Family Medicine Physician 207Q00000X M-14925 ID Primary
Hospitalist Physician 208M00000X M-14925 ID

Addresses

Primary practice location

1220 E Polston Ave
Post Falls, ID 83854-6056

Mailing address

1220 E Polston Ave
Post Falls, ID 83854-6056
Phone (208) 773-1577

Other practice location 1

229 S 7th St
St Maries, ID 83861-1803
Phone (208) 245-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210713001884 AK Practitioner - Family Practice 7517369556 Reassigns benefits to 2 organizations
I20210816003765 ID Practitioner - Family Practice 7517369556 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Falls Family Medicine P.a.Group PAC ID 5991780488, 7 clinicians
Benewah Community HospitalGroup PAC ID 1850200700, shared by 2 NPIs, 39 clinicians

Practice addresses (Care Compare)

1220 E Polston Ave
Post Falls, ID 83854-6056
Phone (208) 773-1577

229 S 7TH St
St Maries, ID 83861-1803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-14925IDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Feb 24, 2022 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Family Medicine Current Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
Benewah Community Hospital Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
City of Valdez CurrentSince Jul 1, 2021 Accepting new patients
Benewah Community Hospital Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
City of Valdez Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Family Medicine CurrentSince Feb 24, 2022 Accepting new patients
Post Falls Family Medicine P.a. Family Medicine CurrentSince Oct 1, 2021 Accepting new patients

Locations

911 Meals Ave
Valdez, AK 99686
Phone (907) 835-2249

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

1220 E Polston Ave
Post Falls, ID 83854
Phone (208) 773-1577

229 S 7th St
St Maries, ID 83861
Phone (208) 245-2591

229 S 7th St
Ste 101
St Maries, ID 83861
Phone (208) 245-2591

229 S 7th St
Ste 300
St Maries, ID 83861
Phone (208) 245-2591

229 S 8th St
St Maries, ID 83861
Phone (208) 245-2591

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
  • Direct secure messaging: patrick.marvil.1@11894.direct.athenahealth.com
  • Direct secure messaging: patrick.marvilmd.p3@direct.kootenai.nextgenshare.com

Organizations & group practices 9

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

Hospital & facility affiliations 8

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1235629304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546056",
            "telephone_number": "208-773-1577",
            "fax_number": "208-773-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546056",
            "telephone_number": "208-773-1577",
            "fax_number": "208-773-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 S 7th St",
            "address_purpose": "LOCATION",
            "city": "St Maries",
            "state": "ID",
            "postal_code": "838611803",
            "country_code": "US",
            "telephone_number": "208-245-5551",
            "fax_number": "208-245-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVIL",
        "first_name": "PATRICK",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-14925",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-14925",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-14925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.