CLARICE MONTECALVO M.D.
NPI 1457840068
Family Medicine in Pocatello, ID
About Clarice Montecalvo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARICE MONTECALVO M.D. (NPI 1457840068) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (7371563) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clarice Montecalvo M.d. 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.
Medicare Billing Reassignments
11Medicare enrollment records show Clarice Montecalvo reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 190 clinicians in this Medicare group
Teecnospos, AZ 86514
- Reassigned Medicare billing, Texas enrollment
- 572 clinicians in this Medicare group
Scottsdale, AZ 85253
- Reassigned Medicare billing, Arizona enrollment
- 184 clinicians in this Medicare group
Hardinsburg, KY 40143
- Reassigned Medicare billing, Kentucky enrollment
- 182 clinicians in this Medicare group
Leitchfield, KY 42754
- Reassigned Medicare billing, Kentucky enrollment
- 107 clinicians in this Medicare group
Hamilton, OH 45011
- Reassigned Medicare billing, Ohio enrollment
- 744 clinicians in this Medicare group
Troy, OH 45373
- Reassigned Medicare billing, Ohio enrollment
- 405 clinicians in this Medicare group
Middletown, OH 45005
- Reassigned Medicare billing, Ohio enrollment
- 263 clinicians in this Medicare group
Dayton, OH 45409
- Reassigned Medicare billing, Ohio enrollment
- 270 clinicians in this Medicare group
Owingsville, KY 40360
- Reassigned Medicare billing, Kentucky enrollment
- 296 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Portneuf Medical Center
Acute Care Hospitals · Pocatello, IDFranklin County Medical Center
Critical Access Hospitals · Preston, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
POCATELLO, ID 83201
POCATELLO, ID 83201
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 Clarice Montecalvo's NPI number?
The NPI number for Clarice Montecalvo is 1457840068. It was assigned to this individual provider in the NPPES registry on May 9, 2018.
Where is Clarice Montecalvo located?
Clarice Montecalvo practices at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-2481.
What is Clarice Montecalvo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clarice Montecalvo enrolled in Medicare?
Yes. Clarice Montecalvo 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.
Which organizations bill Medicare for Clarice Montecalvo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarice Montecalvo reassigns Medicare benefits to 11 organizations: Pocatello Health Services, LLC (Pocatello, ID), Dhhs, Phs, Naihs, Shiprock Hospital (Teecnospos, AZ), Banner Urgent Care Services, LLC (Scottsdale, AZ), Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY), Concord Company Of Tennessee PLLC (Leitchfield, KY) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarice Montecalvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clarice Montecalvo accept?
Health plans from CareSource, Moda Health Plan, Inc., Providence Health Plan and University of Utah Health Plans list Clarice Montecalvo 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 Clarice Montecalvo affiliated with any hospitals?
According to CMS data, Clarice Montecalvo is affiliated with Portneuf Medical Center and Franklin County Medical Center.
When was this NPI record last updated?
The NPPES record for Clarice Montecalvo was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Clarice Montecalvo, M.D. · NPI 1457840068
Family Medicine physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since May 9, 2018.
## Identity
- **NPI:** 1457840068 (Entity type: Individual)
- **Enumerated:** May 9, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 7371563 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 HOSPITAL WAY, Pocatello, ID 83201-5175
- **Phone:** (208) 239-2481 · **Fax:** (208) 239-3691
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Pocatello Health Services, LLC (NPI 1215165485, Pocatello, ID); Dhhs, Phs, Naihs, Shiprock Hospital (NPI 1477615789, Teecnospos, AZ); Banner Urgent Care Services, LLC (NPI 1609229764, Scottsdale, AZ); Concord Medical Group Of Kentucky PLLC (NPI 1346746385, Hardinsburg, KY); Concord Company Of Tennessee PLLC (NPI 1649743667, Leitchfield, KY); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1457840068) · Data from the CMS NPPES public registry.