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Active NPI 1548892110 Individual Practitioner Male Practitioner

Cody Charles Smith , PA

Physician Assistant • Meridian, ID

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Cody Smith, PA is a certified Physician Assistant practicing in Meridian, ID. With approximately 7 years of clinical experience since graduating from Rush Medical College Of Rush University in 2019, Cody Smith delivers high-quality medical care to the local community at 3277 E LOUISE DR FL 2.

Cody Smith maintains professional affiliations with St Lukes Clinic-Treasure Valley Llc, Direct Orthopedic Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, injection, bupivicaine, not otherwise specified, 0.5 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3277 E Louise Dr Fl 2

Meridian, ID 836429359

Telephone 2083817335
Fax 2083817227
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Meridian, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -4.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
136 Specialists

Practicing in Meridian, ID (1261 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
78.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (7 Years) 7 Yrs
Meridian Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit
17,500 45 $15.91 $6.19
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg
2,580 17 $0.05 $0.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
279 226 $356.76 $114.97
99213 Established patient office or other outpatient visit, typically 15 minutes
101 86 $242.64 $81.12
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face
87 41 $602.67 $131.56
64405 Injection of anesthetic agent, greater occipital nerve
25 12 $603.06 $51.72
64450 Injection of anesthetic agent, other peripheral nerve or branch
24 11 $464.00 $86.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $219.00 $76.66

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-2484

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA PA57810

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CA PA57810

Definition to come...

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

100 E Bannock St, Boise, ID 837126241

Phone: 2083812983

St Lukes Clinic-Treasure Valley Llc

190 E Bannock St, Boise, ID 837126241

Phone: 2083819384

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

Direct Orthopedic Care Llc

7979 W Rifleman St, Boise, ID 837049066

Phone: 2083214000

St Lukes Clinic-Treasure Valley Llc

3277 E Louise Dr, Meridian, ID 836429360

Direct Orthopedic Care Llc

4842 N Cortona Way, Meridian, ID 836463171

Phone: 2083214000

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

100 E Idaho St, Boise, ID 837126267

Secondary Practice Locations

11795 Education St Ste 220

Auburn, CA 956022469

Phone: 5308866850

816 W Cannon St

Fort Worth, TX 761043146

Phone: 8173210404

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Daniel Abenroth , MD

Psychiatry & Neurology - Vascular Neurology

NPI 1053678342

Doctor of Medicine (M.D.)

Dr. Thomas Strobel , MD

Psychiatry & Neurology - Neurology

NPI 1164050084

Doctor of Medicine (M.D.)

Dr. Yee Kuang Cheng , MD

Psychiatry & Neurology - Neurology

NPI 1255828893

Doctor of Medicine (M.D.)

Kjeranne Rummel , APRN-CNP

Nurse Practitioner - Family

NPI 1376209460

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Brittany Lovascio , MD

Psychiatry & Neurology - Neurology

NPI 1407350382

Doctor of Medicine (M.D.)

Anant Wadhwa

Psychiatry & Neurology - Neurology

NPI 1477968188

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 08, 2024

Registered at 3277 E LOUISE DR FL 2, MERIDIAN, ID 836429359 (Tel: 2083817335)

📍
Updated Business Mailing Address August 08, 2024

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083817335)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2024

Physician Assistant (License #PA57810 in CA)

📍
Updated Practice Location May 15, 2024

Registered at 816 W CANNON ST, FORT WORTH, TX 761043146 (Tel: 8173210404)

📍
Updated Business Mailing Address May 15, 2024

Registered at 816 W CANNON ST, FORT WORTH, TX 761043146 (Tel: 8173210404)

NPI Profile Active March 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2020

Registered at 11795 EDUCATION ST STE 220, AUBURN, CA 956022469 (Tel: 5308866850)

📍
Updated Business Mailing Address March 05, 2020

Registered at PO BOX 255228, SACRAMENTO, CA 958655228 (Tel: 8557710335)

👤
Provider Name / Credentials Updated March 05, 2020

Recorded as CODY SMITH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2020

Physician Assistant (License #PA57810 in CA)

🟢
Initial NPI Registration & Enumeration February 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548892110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2020
Last Update: August 08, 2024
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

Phone: 2083817335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.