Jay Robert McMaster, DO

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

O-0409 Issued in ID

Practice address

256 N 2ND E
Rexburg, ID 83440-1638

Phone

(208) 656-9646

Fax

(208) 656-9645

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

OtolaryngologyAlso: Allergy/Immunology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Valley ENT and Allergy PLLCGroup PAC ID 5092949594, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Teton Valley Hospital Hospital, Driggs, ID, CCN 131313

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Upper Valley ENT & Allergy PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Rexburg, ID
  • NPI 1124462494

  Allergy

  Medicare reassignment Care Compare group NPD Authorized official
• Upper Valley Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rexburg, ID
  • NPI 1821420571
  NPD (past) Authorized official
• Madison Ear Nose and Throat Clinic

  • Otolaryngology Physician
  • Rexburg, ID
  • NPI 1265458400
  NPD
• Daniel Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Pocatello, ID
  • NPI 1588160881
  NPD (past)

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

• Madison Co Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation
• Teton Valley Health Care Inc

  • Critical Access Hospital
  • Driggs, ID
  • NPI 1477809622
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1972537892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401638",
            "telephone_number": "208-656-9646",
            "fax_number": "208-656-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401638",
            "telephone_number": "208-656-9646",
            "fax_number": "208-656-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTER",
        "first_name": "JAY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "ID",
            "license": "O-0409",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "ID",
            "license": "O-0409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt R Mayberry, MD
• James McCoy, MD
• Mia McCune
• Scott J McCurdy, OPTICIAN
• Amy Anne McDougal, PHARM.D
• Russell Hal McUne, MD
• Megan Leigh Meldrum, LMSW
• Mellor Chiropractic Clinic P.a.
• Stephen Paul Mellor, D.C.
• Rex Allen Meredith, PA-C

• Otolaryngology/Facial Plastic Surgery Physician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.

Verify at the official NPI Registry.