Dan S. Fairman, MD
NPI 1023059250ActiveIndividual· Internal Medicine· Ketchum, ID
Internal Medicine (MD) in Ketchum, Idaho, trained at Saint Louis University School of Medicine (class of 1982). Their prescriptions cost Medicare Part D more than their services did: $717,333 for 8,562 claims, against $68,755 paid for services in 2024. Novo Nordisk Inc reported $17.14 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1023059250 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 9, 2006 |
| Last updated in NPPES | Jan 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | M4921 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 752 |
|---|---|
| Services billed | 1,621 across 59 procedure codes |
| Paid by Medicare | $68,755 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,562 · 20,499 30-day fills |
|---|---|
| Patients | 858 |
| Total drug cost | $717,333 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- St Lukes Clinic - Wood River LLCKetchum, ID · 66 clinicians
Hospital affiliations
- St Luke's Regional Medical CenterBoise, ID
- St Luke's Wood River Medical CenterKetchum, ID
- St Lukes Magic Valley Medical CenterTwin Falls, ID
Other facilities
- Idaho Home Health & HospiceHome health agency · Twin Falls, ID
- St Lukes Home Care and HospiceHome health agency · Meridian, ID
Industry payments (Open Payments)
- 2025$17.14 · 1 payment from 1 company
- 2024$105.22 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $17.14 | 1 |
What the 2025 payments were for
- Food and Beverage$17.14 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine providers in Ketchum
- 1972891604
- 1629255153
- 1841343720
- 1952358251
- 1134506256
- 1699718791
- 1619034188
- 1093768368