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CLARICE MONTECALVO M.D.
NPI 1457840068
Family Medicine in Pocatello, ID

Active since May 09, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-2481(208) 239-3691 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2022, May 9, 2018 (2 updates tracked since 2018).

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

NPI1457840068
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLARICE MONTECALVOCredential: M.D.
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing AddressP.o. Box 4168Pocatella, ID 83205-4168 · (208) 239-1035 · Fax (208) 239-3626
Phone(208) 239-2481
Fax(208) 239-3691
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2018
Enumeration DateMay 9, 2018
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1457840068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · 7371563✔ Licensed in KY · C3972
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

777 HOSPITAL WAY, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Plan, Inc. 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

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.

PECOS PAC ID8628325222
PECOS Enrollment IDI20250801002918, I20250908001641
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
171 services61 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
67 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Franklin County Medical Center

Critical Access Hospitals · Preston, ID
OwnershipVoluntary non-profit - Other
CMS Certification Number131322
Location44 North First EastPreston, ID 83263 · Franklin County
Emergency services

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.62
Improvement Activities40
Cost100

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.

MS. EUNICE GRACE GARDNER PH.D.
Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1710
JESS LUFKIN CRNA
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 716-7215
ROGER A COOK MD
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
JASON MONTGOMERY NP-C
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-2580
ALYSSA M WOODBURY PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1226
SHANNON ALISON WEBB PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
DR. ROBERT MICHAEL KENNEDY M.D.
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Bannock County (208) 239-2722
MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 227-2600

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.

What insurance does Clarice Montecalvo accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Plan, Inc. and Providence Health Plan 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, Franklin County Medical Center and St Claire Regional 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 with the weekly NPPES data releases published by CMS.