Active NPI 1023416781 Individual Practitioner Male Practitioner

Codey Gillum , PA-C

Physician Assistant - Surgical • Roxbury Crossing, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Codey Gillum, PA-C is a certified Physician Assistant - Surgical practicing in Roxbury Crossing, MA. With approximately 12 years of clinical experience since completing medical education in 2014, Codey Gillum delivers high-quality medical care to the local community at 125 PARKER HILL AVE.

Codey Gillum is affiliated with Eric J. Woodard Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include fusion of additional segment of spine, partial removal of spine bone with release of spinal cord and/or nerves, 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

125 Parker Hill Ave

Roxbury Crossing, MA 021202847

Telephone 6177545000

Associated Practice Facility / Clinic

🏢 New England Baptist Hospital Facility NPI 1699767491

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Roxbury Crossing, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs Matches City Avg

City Avg: 12.0 Yrs

State Avg: 14.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Roxbury Crossing, MA (523 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

95.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gillum (12 Years) 12 Yrs

Roxbury Crossing Specialty Average (12.0 Years) 12.0 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
22614 Fusion of additional segment of spine	50	20	$1310.10	$55.00
63048 Partial removal of spine bone with release of spinal cord and/or nerves	50	23	$748.55	$29.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$433.91	$118.39
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	30	20	$1200.00	$36.24
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	30	29	$3706.00	$120.86
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	18	18	$6873.75	$245.21
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$2422.06	$107.03
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	11	$1700.00	$55.58
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$2358.04	$101.98
22612 Fusion of spine in lower back	11	11	$5044.55	$228.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	55	25	$650.00	$30.03
22614 Fusion of additional segment of spine	46	13	$1110.00	$55.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$375.00	$119.21
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	27	27	$3150.00	$117.92
22848 Insertion of instrumentation to pelvic bones	11	11	$1025.00	$51.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	58	23	$1110.00	$56.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$375.00	$120.93
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	19	$650.00	$30.59
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	24	$3150.00	$96.01
22612 Fusion of spine in lower back	24	23	$4525.00	$235.95
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$2175.00	$110.88
22849 Reinsertion of spinal fixation device	13	12	$3700.00	$119.40
22848 Insertion of instrumentation to pelvic bones	13	13	$1025.00	$52.56
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$250.00	$85.74
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$6850.00	$251.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	76	57	$375.00	$124.13
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	17	$650.00	$31.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$375.00	$122.81
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$3150.00	$120.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	60	47	$375.00	$104.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$375.00	$102.88
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$6850.00	$260.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	102	34	$1082.35	$59.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	55	$366.15	$101.87
63048 Partial removal of spine bone with release of spinal cord and/or nerves	61	38	$650.00	$32.05
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	42	42	$3007.14	$110.26
22842 Placement of stabilizing device to back, 3-6 spine bone segments	27	26	$1954.63	$115.93
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	25	22	$1200.00	$39.21
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$7050.00	$282.01
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$242.42	$69.87
22843 Placement of stabilizing device to back, 7-12 spine bone segments	17	15	$2129.41	$123.99
22612 Fusion of spine in lower back	14	14	$4082.14	$233.05
20974 Placement of electrical stimulation device for bone healing	13	13	$450.00	$76.35
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	13	13	$200.00	$52.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$535.00	$153.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	81	44	$650.00	$31.18
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	60	60	$2850.00	$115.90
22614 Fusion of additional segment of spine	53	30	$1050.00	$57.66
22842 Placement of stabilizing device to back, 3-6 spine bone segments	26	26	$1750.00	$112.56
22612 Fusion of spine in lower back	26	26	$3750.00	$234.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$240.00	$98.17
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	15	$1173.53	$36.79
22633 Fusion of spine in lower back with partial removal of spine bone and disc	15	15	$7050.00	$264.89
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$6850.00	$252.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$370.00	$149.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves	94	49	$650.00	$30.70
22614 Fusion of additional segment of spine	87	32	$1050.00	$56.92
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	64	63	$2850.00	$119.00
22612 Fusion of spine in lower back	26	26	$3750.00	$228.28
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	23	13	$1700.00	$57.83
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	17	17	$6850.00	$250.05
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$1750.00	$110.98
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$177.29	$67.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$240.00	$98.94
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	15	$750.00	$37.82
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$7050.00	$271.03
22843 Placement of stabilizing device to back, 7-12 spine bone segments	13	12	$1850.00	$118.77

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License MA PA5223

Definition to come...

Hospital & Practice Group Affiliations

Eric J. Woodard Md Pc

125 Parker Hill Ave, Boston, MA 021202847

Phone: 7817499071

Practice Associates & Co-Workers

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

25 Associated Practitioners

Brendan Swan , PA-C

Orthopaedic Surgery

NPI 1023660081

Physician Assistant (Certified)

Aggie Sutherland

Nurse Practitioner

NPI 1053905331

Corinne Clancy , NP

Nurse Practitioner - Acute Care

NPI 1124571310

Nurse Practitioner

Nicolas Marcotte , MDFRCSCFACS

Neurological Surgery

NPI 1225260102

Kenai Hattori , NP

Nurse Practitioner - Family

NPI 1366995490

Nurse Practitioner

Dr. Matthew Laprade , MD

Orthopaedic Surgery

NPI 1396322806

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2014

Registered at 125 PARKER HILL AVE, ROXBURY CROSSING, MA 021202847 (Tel: 6177545000)

📍

Updated Business Mailing Address December 11, 2014

Registered at 125 PARKER HILL AVE, ROXBURY CROSSING, MA 021202847 (Tel: 6177545000)

👤

Provider Name / Credentials Updated December 11, 2014

Recorded as CODEY GILLUM, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2014

Physician Assistant (License #PA5223 in MA)

🟢

Initial NPI Registration & Enumeration December 11, 2014

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: 1023416781

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 11, 2014

Last Update: December 11, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

125 Parker Hill Ave

Roxbury Crossing, MA 021202847

Phone: 6177545000

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.