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CODY CUNNINGHAM DO
NPI 1659000958
Family Medicine in Pocatello, ID

Active since June 10, 2022PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

Record update history: Jul 27, 2026, Jun 10, 2022 (2 updates tracked since 2022).

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
Phone(208) 232-7862
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 10, 2022
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
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
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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Cody Cunningham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health West, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
465 MEMORIAL DR
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 63 clinicians in this Medicare group
NPI 1912261413 (208) 234-4700
Pocatello Health Services, LLC
0.2 mi
General Acute Care Hospital
651 MEMORIAL DR
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 190 clinicians in this Medicare group
NPI 1689802852 (208) 239-2110
Optimum Health, PLLC
2.5 mi
Emergency Medicine
2928 MICHELLE ST
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 19 clinicians in this Medicare group
NPI 1306401575 (208) 244-0997
Minidoka Memorial Hospital
65 mi
Rural Health
1308 8TH ST, SUITE 1
Rupert, ID 83350
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1679553531 (Idaho)
  • 61 clinicians in this Medicare group
NPI 1043387426 (208) 436-4322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JORDIN MILLWARD PHARMD
Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3387
KATELYN BERCAW DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
TYLER GEYEN DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-3289
DR. CORY VEIGEL DMD
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
CHAD REILLY PEXTON DDS
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-6000
BRANDON PACE DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862
DR. BRADLEY YAMASHITA BEAUFORT DO
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-4700
SHAYLOR BRINGHURST MD
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 232-7862

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.

Which organizations bill Medicare for Cody Cunningham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Cunningham reassigns Medicare benefits to 4 organizations: Health West, Inc. (Pocatello, ID), Pocatello Health Services, LLC (Pocatello, ID), Optimum Health, PLLC (Pocatello, ID) and Minidoka Memorial Hospital (Rupert, ID). 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 Cody Cunningham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Cunningham accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer 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 3 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.