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DR. MICHAEL J CANNON DO
NPI 1033131495
Obstetrics & Gynecology in Twin Falls, ID

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
801 POLE LINE RD W STE 3880, TWIN FALLS, ID 83301(208) 814-8500(208) 933-9635 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 1, 2021, Aug 14, 2019 (2 updates tracked since 2019).

About Dr. Michael J Cannon Do NPPES

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

DR. MICHAEL J CANNON DO (NPI 1033131495) is an individual obstetrics & gynecology provider in Twin Falls, Idaho, licensed in Idaho (O-0398) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2001).

NPPES Registry Identity

NPI1033131495
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHAEL J CANNONCredential: DO
Location Address801 POLE LINE RD W STE 3880Twin Falls, ID 83301-5811
Mailing Address801 Pole Line Rd W Ste 3880Twin Falls, ID 83301-5811 · (082) 814-8500 · Fax (208) 933-9635
Phone(208) 814-8500
Fax(208) 933-9635
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2001
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1033131495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ID · O-0398
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
801 POLE LINE RD W STE 3880, Twin Falls, ID 83301
Open in Google Maps ↗

Other Identifiers 1

Medicaid807489600ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Dr. Michael J Cannon 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 ID4486659307
PECOS Enrollment IDI20060928000266
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 Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 4

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

LINDSEY BLAMIRES FNP-BC
Nurse Practitioner (Obstetrics & Gynecology)
801 POLE LINE RD W STE 3880
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8500
DR. SUSAN M MARZOLF M.D.
Obstetrics & Gynecology
801 POLE LINE RD W STE 3880
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8500
GRACE NICOLE RIPLEY DO
Obstetrics & Gynecology
801 POLE LINE RD W STE 3880
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8500
BRENDA RENTERIA LOERA PA
Physician Assistant
801 POLE LINE RD W STE 3880
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Cannon's NPI number?

The NPI number for Michael Cannon is 1033131495. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Cannon located?

Michael Cannon practices at 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301. The listed phone number is (208) 814-8500.

What is Michael Cannon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Cannon enrolled in Medicare?

Yes. Michael Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Cannon accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Michael Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Cannon affiliated with any hospitals?

According to CMS data, Michael Cannon is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Cannon was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.