DR. HEATHER FOWLER CUMBO (MD) – Psychiatry Physician, NPI 1063668077

DR. HEATHER FOWLER CUMBO (MD) is a healthcare provider. based in Idaho falls, Idaho. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 149697 (NC). The NPI Number for DR. HEATHER FOWLER CUMBO (MD) is 1063668077

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER FOWLER CUMBO (MD)
NPI
1063668077
Phone
(208) 227-2100
Address
2280 E 25th St
Enumeration Date
10 August 2008
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4194754449
Graduation Year
2008 (18 years ago)
PAC ID
1153649124
Group Practice PAC ID
8325931181
Professional Enrollment ID
I20230615001191
Address ID
OH436061169TO3909XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

129 PSYCHIATRY in ID

Provider Addresses for DR. HEATHER FOWLER CUMBO (MD)

  • 2280 E 25th St

    Idaho Falls, ID 834047542

    Phone: (208) 227-2100

    Type: Location

  • Eastern Idaho Regional Medical Center - Behavioral Health Center, 2280, East 25th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047542

    Phone: (208) 227-2100

    Type: Mailing

  • Saint Joseph's Regional Medical Center, 415, 6th Street, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835012434

    Phone: (208) 750-7445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: ABBVIE INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$13
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151029001763IPsychiatryFLTBD
I20171101002760IPsychiatryIDTBD
I20230615001191IPsychiatryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325931181View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical Social WorkerOH
P S Y C H I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH
-KS
-OH
Certified Clinical Nurse Specialist (Cns)OH

Reviews

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Frequently asked questions

How do payers reference DR. HEATHER FOWLER CUMBO (MD)?
For DR. HEATHER FOWLER CUMBO (MD), use NPI 1063668077 as the unique 10-digit identifier.
Is there an active status for DR. HEATHER FOWLER CUMBO (MD)?
For scheduling context, DR. HEATHER FOWLER CUMBO (MD) is shown as active in the registry.
What kind of doctor is DR. HEATHER FOWLER CUMBO (MD)?
DR. HEATHER FOWLER CUMBO (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. HEATHER FOWLER CUMBO (MD) located near Idaho Falls?
DR. HEATHER FOWLER CUMBO (MD) currently maps to Idaho Falls, Idaho in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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