DR. SUSAN BLAKE WACHTER M.D. PH.D. NPI 1740450014

NPI Information

  • NPI: 1740450014
  • Provider Name: DR. SUSAN BLAKE WACHTER, M.D., PH.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2985 CORTEZ AVE
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 523-3373

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NPI Details

DR. Susan Blake Wachter, M.D., PH.D. is an internal medicine in Idaho Falls, ID with 20 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Susan Blake Wachter, M.D., PH.D. NPI is 1740450014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

2985 CORTEZ AVE
IDAHO FALLS, ID
ZIP 83404-554
Phone: (208) 523-3373
Fax: (208) 523-8746

The NPI 1740450014 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Thallium tl-201 thallous chloride, diagnostic, per millicurie (HCPCS:A9505)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec (HCPCS:G2066)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Insertion of tube in right heart chambers for measurement (HCPCS:93451)
  • Injection, perflutren lipid microspheres, per ml (HCPCS:Q9957)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)
  • Injection of drug or substance into vein (HCPCS:96374)

The enumeration date for this NPI number is 3/3/2008 and was last updated on 1/13/2014.

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
1207R00000XInternal Medicine6825173-1205UTAHYes

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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