MS. CYNTHIA M. ALARCON PA-C
NPI 1386981686
Physician Assistant in Helena, MT

Active since January 08, 2013PECOS EnrolledAccepts Medicare Assignment
1930 9TH AVE, HELENA, MT 59601(406) 457-0000(406) 500-2128 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2022, Feb 25, 2020, Dec 12, 2017 and 1 more (4 updates tracked since 2015).

About Ms. Cynthia M. Alarcon Pa-c NPPES

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

MS. CYNTHIA M. ALARCON PA-C (NPI 1386981686) is an individual physician assistant in Helena, Montana, licensed in Montana (22387) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386981686
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CYNTHIA M. ALARCONCredential: PA-C
Location Address1930 9TH AVEHelena, MT 59601-4759
Mailing Address1930 9th AveHelena, MT 59601-4759 · (406) 457-0000 · Fax (406) 457-8981
Fax(406) 500-2128
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 8, 2013
Last NPPES UpdateNovember 7, 20224 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
NPI 1386981686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MT · 22387
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 22387 (MT)
1930 9TH AVE, Helena, MT 59601

Other Identifiers 1

Medicaid1386981686MT

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

Ms. Cynthia M. Alarcon Pa-c 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 ID7517104045
PECOS Enrollment IDI20130430000659
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers19 claims26 services$4.96 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims65 services$2.97 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier37 claims37 services$18.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers80 claims80 services$104.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Counselor (Professional)
1930 9TH AVE
HELENA, MT 59601
Family Medicine
1930 9TH AVE
HELENA, MT 59601
Dentist (General Practice)
1930 9TH AVE
HELENA, MT 59601
Dietitian, Registered
1930 9TH AVE
HELENA, MT 59601
Family Medicine
1930 9TH AVE
HELENA, MT 59601
Neuromusculoskeletal Medicine & OMM
1930 9TH AVE
HELENA, MT 59601
Nurse Practitioner
1930 9TH AVE
HELENA, MT 59601
Social Worker (Clinical)
1930 9TH AVE
HELENA, MT 59601

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 Cynthia Alarcon's NPI number?

The NPI number for Cynthia Alarcon is 1386981686. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Where is Cynthia Alarcon located?

Cynthia Alarcon practices at 1930 9th Ave, Helena, MT 59601. The listed phone number is (406) 457-0000.

What is Cynthia Alarcon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cynthia Alarcon enrolled in Medicare?

Yes. Cynthia Alarcon 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 Cynthia Alarcon accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Cynthia Alarcon 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 Cynthia Alarcon affiliated with any hospitals?

According to CMS data, Cynthia Alarcon is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Cynthia Alarcon was last updated on November 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.