Thor Stephen Bostrom, DC
NPI 1609479419ActiveIndividual· Chiropractor· Coeur D Alene, ID
Chiropractor (DC) in Coeur D Alene, Idaho, licensed in MT, with an NPI issued in November 2020. Medicare paid $3,613 for services to 16 patients in 2024.
Overview
| NPI | 1609479419 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | Yes |
| NPI issued | Nov 16, 2020 |
| Last updated in NPPES | Mar 30, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHI-CHI-LIC-6726 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 122 across 3 procedure codes |
| Paid by Medicare | $3,613 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Chiropractic |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 86 chiropractors in Coeur D Alene · All chiropractors in Idaho