MOLLY M MCCORMICK DO
NPI 1003296724
Family Medicine in Kuna, ID

Q: What is Molly Mccormick's NPI number?

The NPI number for Molly Mccormick is 1003296724. It was assigned to this individual provider in the NPPES registry on June 8, 2015. The provider is also known as Molly M Lunstrum.

Q: What is Molly Mccormick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Molly Mccormick was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment

708 E WYTHE CREEK CT STE 103, KUNA, ID 83634(208) 922-5130(208) 375-2217 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Nov 21, 2018 (2 updates tracked since 2018).

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About Molly M Mccormick Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY M MCCORMICK DO (NPI 1003296724) is an individual family medicine provider in Kuna, Idaho, licensed in Idaho (O-1008) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Western University Of Health Sciences College Of Dental Med (2015).

NPPES Registry Identity

NPI1003296724

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMOLLY M MCCORMICKCredential: DO

Location Address708 E WYTHE CREEK CT STE 103Kuna, ID 83634-5005

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217

Phone(208) 922-5130

Fax(208) 375-2217

Sole ProprietorNo

Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2015

Enumeration DateJune 8, 2015

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1003296724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · O-1008✔ Licensed in ID · MRO-1478

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

708 E WYTHE CREEK CT STE 103, Kuna, ID 83634

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Other Names 1

Former Name (1)Molly M Lunstrum

Other Identifiers 1

Medicaid1003296724ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Molly M Mccormick Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193031235

PECOS Enrollment IDI20190211000455

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83634 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNIE JOHNSON PA-C

Physician Assistant (Medical)