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CYNTHIA CANNON MD
NPI 1700894383
Obstetrics & Gynecology in Salt Lake City, UT

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
455 E SOUTH TEMPLE, #202, SALT LAKE CITY, UT 84111(801) 355-9951(801) 355-9968 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cynthia Cannon Md NPPES

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

CYNTHIA CANNON MD (NPI 1700894383) is an individual obstetrics & gynecology provider in Salt Lake City, Utah, licensed in Utah (1877491205) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1991).

NPPES Registry Identity

NPI1700894383
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCYNTHIA CANNONCredential: MD
Location Address455 E SOUTH TEMPLE, #202Salt Lake City, UT 84111-1350
Mailing Address455 E South Temple, #202Salt Lake City, UT 84111-1350 · (801) 355-9951 · Fax (801) 355-9968
Phone(801) 355-9951
Fax(801) 355-9968
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1991
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700894383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 1877491205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
455 E SOUTH TEMPLE, Salt Lake City, UT 84111
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING09663

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

Cynthia Cannon Md 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 ID3375723075
PECOS Enrollment IDI20110214000247
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 Reassignment

Medicare enrollment records show Cynthia Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.2 mi
Internal Medicine
525 E 100 S, SUITE 500
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1225163702 (801) 519-7100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84111 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOIS JEANNE GEMMELL MD
Obstetrics & Gynecology
455 E SOUTH TEMPLE, #202
SALT LAKE CITY, UT 84111
Salt Lake County (801) 355-9951
HANNELE LAINE, MD, PC
Specialist
455 E SOUTH TEMPLE, STE 202
SLC, UT 84111
Salt Lake County (801) 355-9951

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 Cannon's NPI number?

The NPI number for Cynthia Cannon is 1700894383. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Cynthia Cannon located?

Cynthia Cannon practices at 455 E South Temple #202, Salt Lake City, UT 84111. The listed phone number is (801) 355-9951.

What is Cynthia Cannon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cynthia Cannon enrolled in Medicare?

Yes. Cynthia Cannon 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 organization bills Medicare for Cynthia Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Cannon reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). The 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 Cynthia Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cynthia Cannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.