Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003506429 Individual Practitioner Male Practitioner

Cody M Cimmiyotti

Peer Specialist • Pendleton, OR

Professional Overview & Biography Verified Profile Summary

Cody Cimmiyotti is a registered healthcare professional specializing in Peer Specialist in Pendleton, OR. Practice services are available at 46314 TIMINE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

46314 Timine Way

Pendleton, OR 978019417

Telephone 5419669830
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Pendleton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
83 Specialists

Practicing in Pendleton, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-09
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR THW000108876

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oregon
THW000108876 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013107515

Doctor of Dental Medicine

Ian Sampson

Peer Specialist

NPI 1013403286
Amy Allen , RN

Registered Nurse

NPI 1013792696

Registered Nurse

Allan Jio

Pharmacist

NPI 1013928563
NPI 1033492822

Registered Pharmacist

NPI 1033536651

Certified Nursing Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 09, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2023

Registered at 46314 TIMINE WAY, PENDLETON, OR 978019417 (Tel: 5419669830)

📍
Updated Business Mailing Address May 09, 2023

Registered at PO BOX 160, PENDLETON, OR 978010160 (Tel: 5419669830)

👤
Provider Name / Credentials Updated May 09, 2023

Recorded as CODY CIMMIYOTTI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2023

Peer Specialist (License #THW000108876 in OR)

🟢
Initial NPI Registration & Enumeration May 09, 2023

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: 1003506429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2023
Last Update: May 09, 2023
Sole Proprietor: No

Mailing Address

Po Box 160

Pendleton, OR 978010160

Phone: 5419669830

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.