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Dr. John Clark Mayberry , MD

Surgery โ€ข Caldwell, ID

Active NPI 1528074077 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1906 Fairview Ave Ste 130
Caldwell, ID 836055433

Call 2084534260 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1906 Fairview Ave Ste 130

Caldwell, ID 836055433

Telephone 2084534260
Fax 8442133678
Organization at the Same NPPES Address or Phone
High Desert Wound Care And Hyperbarics Pllc Facility NPI 1700621661

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Pine Ridge Indian Health Service Hospital. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

1986

Medicare-allowed amount

About $7,239 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $5,768 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

11 standardized 30-day fills in 2014

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$194 in 2014

The total cost of these prescriptions in 2014, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2014.

Open Payments general payments, program year 2025

All general payments: $43.18 across 2 records.

By nature of payment

  • Food and Beverage: $43.18 across 2 records.

Reporting-company totals

  • Kerecis Limited: $43.18 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

40 years (graduated 1986)

CMS Doctors and Clinicians data list 1986 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mayberry has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mayberry as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Caldwell and Idaho

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Mayberry are from 2023.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Mayberry are from 2014.

5 active clinicians are listed under Surgery with a practice address in Caldwell, ID (179 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2014), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $43.18.

Manufacturer Payment Nature Product Type Amount ($)
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $35.34
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $7.84

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
31 20 $253.87 $113.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
23 22 $400.00 $161.31

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2014.

CMS Part D ยท Data Year 2014
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 11 101 $194.28 โ€”

Source: CMS Part D by Provider and Drug, 2014; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-03
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES ID M-12108

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

License # reported to NPPES ID M-12108

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20250203001269

Enrollment State Jurisdiction

TX

PECOS Control ID

1456247980

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Pine Ridge Indian Health Service Hospital

P O Box 1201 E Hwy 18, Pine Ridge, SD 577701201

Pine Ridge Indian Health Service Hospital

P O Box, Pine Ridge, SD 577701201

Pine Ridge Indian Health Service Hospital

East Hwy 18, Pine Ridge, SD 577701201

Phone: 6058673032

Pine Ridge Indian Health Service Hospital

Po Box 1201 E Hwy 18, Pine Ridge, SD 577701201

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

20 Historical Events
๐Ÿ“
Updated Practice Location October 03, 2023

Registered at 1906 FAIRVIEW AVE STE 130, CALDWELL, ID 836055433 (Tel: 2084534260)

๐Ÿ“
Updated Business Mailing Address October 03, 2023

Registered at PO BOX 1074, CALDWELL, ID 836061074 (Tel: 2084534260)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2023

Surgery (license number reported to NPPES: ID M-12108)

๐Ÿ“
Updated Practice Location November 25, 2021

Registered at 5565 GROSSMONT CENTER DR STE 221, LA MESA, CA 919423022 (Tel: 6194628100)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2021

Surgery (license number reported to NPPES: ID M-12108)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Surgery (license number reported to NPPES: PA MD461611)

โœ…
NPI Profile Active December 22, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location December 22, 2017

Registered at 7910 FROST ST STE 250, SAN DIEGO, CA 921232752 (Tel: 5033307728)

๐Ÿ“
Updated Business Mailing Address December 22, 2017

Registered at 315 S COAST HIGHWAY 101 STE U-535, ENCINITAS, CA 920243543 (Tel: 5033307728)

๐Ÿ‘ค
Provider Name / Credentials Updated December 22, 2017

Recorded as JOHN MAYBERRY, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2017

Surgery (license number reported to NPPES: CA G151173)

๐Ÿ“
Updated Practice Location August 02, 2017

Registered at 100 HOSPITAL DRIVE, KETCHUM, ID 83340 (Tel: 2087278864)

๐Ÿ“
Updated Business Mailing Address August 02, 2017

Registered at PO BOX 100, KETCHUM, ID 833400100

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Surgery (license number reported to NPPES: OR MD15313)

โœ…
NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 17, 2014

Registered at 999 N CURTIS RD, SUITE 415, BOISE, ID 837061334 (Tel: 2083677676)

๐Ÿ“
Business Mailing Address (Initial Record) June 17, 2014

Registered at 3340 E GOLDSTONE WAY, MERIDIAN, ID 836421026 (Tel: 2083675170)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 17, 2014

Recorded as JOHN MAYBERRY, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Surgery (license number reported to NPPES: ID M-12108)

๐ŸŸข
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528074077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: October 03, 2023
Sole Proprietor: Yes

Other Surgery Specialists in Caldwell

Healthcare providers in Caldwell

Mailing Address

Po Box 1074

Caldwell, ID 836061074

Phone: 2084534260

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.