CLARK R DAINES MD NPI 1144264045

NPI Information

  • NPI: 1144264045
  • Provider Name: CLARK R DAINES, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3100 CHANNING WAY
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 529-6050

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NPI Details

Clark R Daines, MD is an anatomic pathology and clinical pathology pathology in Idaho Falls, ID with 32 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Clark R Daines, MD NPI is 1144264045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (208) 529-6050
Fax: (208) 529-7085

The NPI 1144264045 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Protein measurement, serum (HCPCS:84165)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Cell examination of specimen, concentration technique (HCPCS:88108)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Cell examination of specimen, concentration technique (HCPCS:88108)
  • Protein measurement, serum (HCPCS:84165)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Pathology clinical consultation for clinical problem, 5-20 minutes (HCPCS:80503)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Blood smear interpretation by physician with written report (HCPCS:85060)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Examination of archival tissue for genetic analysis (HCPCS:88363)
  • Crystal identification from tissue or body fluid (HCPCS:89060)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Examination of archival tissue for genetic analysis (HCPCS:88363)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 6/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyM11914IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M11914OTHERIDAHOSTATE LICENSE
279892OTHERIDAHOBLUE CROSS IDAHO
320002833MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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