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DR. HEATHER FOWLER CUMBO MD
NPI 1063668077
Psychiatry & Neurology - Psychiatry in Lewiston, ID

Active since August 10, 2008PECOS EnrolledAccepts Medicare Assignment
415 6TH ST, LEWISTON, ID 83501(208) 750-7445 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2020, Oct 3, 2018, Aug 1, 2017 (3 updates tracked since 2017).

About Dr. Heather Fowler Cumbo Md NPPES

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

DR. HEATHER FOWLER CUMBO MD (NPI 1063668077) is an individual psychiatry provider in Lewiston, Idaho, licensed in Florida (ME121892) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Wake Forest University School Of Medicine (2008).

NPPES Registry Identity

NPI1063668077
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. HEATHER FOWLER CUMBOCredential: MD
Location Address415 6TH STLewiston, ID 83501-2434
Mailing Address2280 E 25th StIdaho Falls, ID 83404-7542 · (208) 227-2100
Phone(208) 750-7445
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2008
Enumeration DateAugust 10, 2008
Last NPPES UpdateSeptember 30, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1063668077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in FL · ME121892✔ Licensed in ID · M-13872
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 149697 (NC)
415 6TH ST, Lewiston, ID 83501
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Secondary Practice Location 1

Location 12280 E 25th StIdaho Falls, ID 83404-7542 · Phone (208) 227-2100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. Heather Fowler Cumbo Md 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 ID1153649124
PECOS Enrollment IDI20151029001763, I20230615001191
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
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 20

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

KYLE JAMES DALY CRNA
Nurse Anesthetist, Certified Registered
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
DAVID B SOUVENIR M.D.
Internal Medicine (Infectious Disease)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7204
DR. JOHN W. HO MD
Radiology (Vascular & Interventional Radiology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7445
SUSANNE CHOBY MD
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5700
CHRISTOPHER V RICKETTS PA
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5280
MS. DARCI M. GRAVES LMSW
Social Worker (Clinical)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6500
LAENNEC INPATIENT SERVICES
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5522
DEBORAH SULLIVAN
Speech-Language Pathologist
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6514

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 Heather Cumbo's NPI number?

The NPI number for Heather Cumbo is 1063668077. It was assigned to this individual provider in the NPPES registry on August 10, 2008.

Where is Heather Cumbo located?

Heather Cumbo practices at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 750-7445.

What is Heather Cumbo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Heather Cumbo enrolled in Medicare?

Yes. Heather Cumbo 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 Heather Cumbo accept?

Health plans from CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), MedMutual and Molina Healthcare and 3 other insurers list Heather Cumbo 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.

When was this NPI record last updated?

The NPPES record for Heather Cumbo was last updated on September 30, 2020. 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.