Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CODY CUNNINGHAM DO
NPI 1659000958
Family Medicine in Pocatello, ID

Active since June 10, 2022PECOS Enrolled
465 MEMORIAL DR, POCATELLO, ID 83201(208) 232-7862 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody Cunningham Do NPPES

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

CODY CUNNINGHAM DO (NPI 1659000958) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (MRO-2181) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains a secondary practice location in Rupert.

NPPES Registry Identity

NPI1659000958
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCODY CUNNINGHAMCredential: DO
Location Address465 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 10, 2022
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1659000958 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 · MRO-2181 Licensed in ID · O-1875
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.
465 MEMORIAL DR, Pocatello, ID 83201

Secondary Practice Location 1

Location 11224 8th StRupert, ID 83350-1599 · Phone (208) 436-0481 · Fax (208) 436-6038

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

Cody Cunningham Do 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 ID9436533320
PECOS Enrollment IDI20250506002901
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.

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

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID
OwnershipGovernment - Local
CMS Certification Number131319
Location1224 8th StreetRupert, ID 83350 · Minidoka County
Emergency services

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
68%34 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
97%63 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
62%34 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
43%53 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 32 patients
100%32 patients
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.

Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
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 Cody Cunningham's NPI number?

The NPI number for Cody Cunningham is 1659000958. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Cody Cunningham located?

Cody Cunningham practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 232-7862.

What is Cody Cunningham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cody Cunningham enrolled in Medicare?

Yes. Cody Cunningham 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 Cody Cunningham accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Cody Cunningham 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 Cody Cunningham affiliated with any hospitals?

According to CMS data, Cody Cunningham is affiliated with Portneuf Medical Center and Minidoka Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cody Cunningham was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.