MOLLY PESTOW NP
NPI 1194348995
Nurse Practitioner in South Bend, IN

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
73.14/100
CMS Quality Rating
53880 CARMICHAEL DR, SOUTH BEND, IN 46635(574) 247-9441 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Nov 8, 2023, May 27, 2020 (3 updates tracked since 2020).

About Molly Pestow Np NPPES

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

MOLLY PESTOW NP (NPI 1194348995) is an individual nurse practitioner in South Bend, Indiana, licensed in Indiana (71010059A) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Unity Physicians Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194348995
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMOLLY PESTOWCredential: NP
Location Address53880 CARMICHAEL DRSouth Bend, IN 46635-1567
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407 · (800) 622-6575
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1194348995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71010059A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
53880 CARMICHAEL DR, South Bend, IN 46635

Secondary Practice Locations 3

Location 160160 Bodnar BlvdMishawaka, IN 46544-9338 · Phone (574) 247-9441
Location 22349 Lake Ave Ste 201Plymouth, IN 46563-7837 · Phone (574) 247-9441
Location 3303 S Nappanee St Ste FElkhart, IN 46514-2066 · Phone (574) 247-9441

Accepted 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 Pestow Np 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 ID143641936
PECOS Enrollment IDI20200603001424
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
164 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services38 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
37 services31 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
31 services22 patients
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.
29 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Unity Physicians Hospital

Acute Care Hospitals · Mishawaka, IN
OwnershipPhysician
CMS Certification Number150177
Location4455 Edison Lakes PkwyMishawaka, IN 46545 · St. Joseph County

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46635 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.87
Promoting Interoperability92
Improvement Activities40
Cost59.27

Reported Quality Measures

Advance Care Plan
83%186 patients4/55-star benchmark: 100%
Breast Cancer Screening
36%174 patients2/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
79%117 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
55%347 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
98%747 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
57%175 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 739 patients
Patients screened: 90% · 739 patients
81%86 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%190 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 189 patients
Patients totalRate: 3% · 189 patients
2%189 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapy Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635

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 Molly Pestow's NPI number?

The NPI number for Molly Pestow is 1194348995. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Molly Pestow located?

Molly Pestow practices at 53880 Carmichael Dr, South Bend, IN 46635. The listed phone number is (574) 247-9441.

What is Molly Pestow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Molly Pestow enrolled in Medicare?

Yes. Molly Pestow 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 Molly Pestow accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Molly Pestow 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 Molly Pestow affiliated with any hospitals?

According to CMS data, Molly Pestow is affiliated with Unity Physicians Hospital and Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Molly Pestow was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.