Mark Kieckbusch, M.D.
NPI 1215981410 · Anatomic Pathology & Clinical Pathology Physician · Boise, ID
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Kieckbusch, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Boise, ID (NPI 1215981410).
Provider details
- NPI number
- 1215981410
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M6070 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
581 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 158 | $26 |
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 150 | $35 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 56 | $32 |
| Protein Measurement, Serum84165 | 54 | $17 |
| Special Stained Specimen Slides to Examine Tissue Including Interpretation and Report88313 | 31 | $11 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique88112 | 30 | $26 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2007-12-11
Frequently asked questions
- What is Mark Kieckbusch's NPI number?
- Mark Kieckbusch's National Provider Identifier (NPI) is 1215981410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Kieckbusch's specialty?
- Mark Kieckbusch is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Kieckbusch located?
- Mark Kieckbusch's practice location on file with NPPES is 190 E Bannock St, Boise, ID 83712-6241.
- What is Mark Kieckbusch's phone number?
- The practice phone number listed in the NPPES registry for Mark Kieckbusch is (208) 381-2367.
- Does Mark Kieckbusch accept Medicare?
- Mark Kieckbusch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Kieckbusch's NPI active?
- Yes — Mark Kieckbusch's NPI (1215981410) is active in the NPPES registry as of the last update on 2007-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.