Active NPI 1013144393 Individual Practitioner Male Practitioner

Kody Lewis , PA-C

Physician Assistant • Summit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kody Lewis, PA-C is a certified Physician Assistant practicing in Summit, WI. With approximately 17 years of clinical experience since completing medical education in 2009, Kody Lewis delivers high-quality medical care to the local community at 36500 AURORA DR.

Kody Lewis is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000

Associated Practice Facility / Clinic

🏢 Aurora Health Care Ventures Inc. Facility NPI 1376791020

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summit, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +6.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

22 Specialists

Practicing in Summit, WI (3517 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

98.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lewis (17 Years) 17 Yrs

Summit Specialty Average (10.9 Years) 10.9 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
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,256	31	$35.00	$8.88
J1010 Injection, methylprednisolone acetate, 1 mg	1,120	16	$0.30	$0.13
20610 Aspiration and/or injection of fluid from large joint	64	51	$853.13	$61.44
27447 Replacement of knee joint, both sides of knee	47	45	$16630.85	$157.62
27130 Replacement of thigh bone and hip joint with prosthesis	32	32	$17087.81	$158.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,064	29	$35.00	$9.39
20610 Aspiration and/or injection of fluid from large joint	72	50	$830.56	$61.59
J1030 Injection, methylprednisolone acetate, 40 mg	39	18	$20.00	$7.54
27447 Replacement of knee joint, both sides of knee	36	36	$16129.17	$159.21
27130 Replacement of thigh bone and hip joint with prosthesis	35	33	$17234.29	$160.43
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$330.00	$67.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	928	13	$35.00	$9.96
20610 Aspiration and/or injection of fluid from large joint	35	24	$681.86	$56.13
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$17208.93	$160.49
27447 Replacement of knee joint, both sides of knee	25	25	$16180.50	$162.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$465.00	$104.07
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$313.00	$73.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	26	$295.00	$75.17
20610 Aspiration and/or injection of fluid from large joint	18	13	$675.94	$59.16
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$18560.29	$165.55
27447 Replacement of knee joint, both sides of knee	15	15	$16916.50	$161.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	152	28	$7.00	$1.44
20610 Aspiration and/or injection of fluid from large joint	44	33	$580.70	$54.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	35	$416.00	$88.92
J1030 Injection, methylprednisolone acetate, 40 mg	32	26	$22.00	$5.92
99213 Established patient office or other outpatient visit, typically 15 minutes	28	18	$281.00	$61.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$407.00	$87.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	19	$7.02	$1.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg	71	15	$7.94	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$183.71	$63.93
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	48	33	$463.85	$94.85
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	46	22	$880.00	$79.48
J1030 Injection, methylprednisolone acetate, 40 mg	34	28	$17.76	$6.28
27447 Replacement of knee joint, both sides of knee	27	27	$4988.89	$196.38
20610 Aspiration and/or injection of fluid from large joint	24	20	$516.75	$49.30
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$7726.94	$200.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$379.73	$88.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$393.00	$88.64
73564 X-ray of knee, 4 or more views	15	11	$45.00	$10.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	116	26	$9.00	$0.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	67	49	$430.37	$89.18
99213 Established patient office or other outpatient visit, typically 15 minutes	60	56	$150.00	$64.01
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	54	32	$880.00	$83.46
27447 Replacement of knee joint, both sides of knee	39	37	$2520.00	$205.36
J1030 Injection, methylprednisolone acetate, 40 mg	29	26	$13.00	$6.69
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$2695.00	$205.45
73564 X-ray of knee, 4 or more views	18	15	$45.00	$9.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$250.00	$96.03
73030 X-ray of shoulder, minimum of 2 views	12	12	$34.00	$8.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	114	27	$9.00	$0.11
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	60	52	$438.00	$90.90
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$125.00	$65.39
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	46	34	$880.00	$81.12
J1030 Injection, methylprednisolone acetate, 40 mg	30	27	$13.00	$5.68
27447 Replacement of knee joint, both sides of knee	30	30	$2520.00	$210.36
73564 X-ray of knee, 4 or more views	19	17	$56.58	$11.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$232.00	$98.23
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$2695.00	$210.33

Medical Specialties & State Licenses

CMS Verified: 2025-07-22

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 4672

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10009992 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624341000

Aurora Advanced Healthcare, Inc.

1640 E Sumner St, Hartford, WI 530272684

Phone: 2626704000

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Aurora Advanced Healthcare, Inc.

1032 E Sumner St, Hartford, WI 530271608

Phone: 2626732300

Practice Associates & Co-Workers

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

40 Associated Practitioners

Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Dr. Jessy Johnson , DC

Chiropractor

NPI 1033792155

Doctor of Chiropractic

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address July 22, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍

Updated Practice Location July 11, 2019

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍

Updated Business Mailing Address July 11, 2019

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Physician Assistant (License #4672 in WI)

✅

NPI Profile Active June 15, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2009

Registered at 901 BIESTERFIELD RD, SUITE 300, ELK GROVE VILLAGE, IL 600073392 (Tel: 8474725161)

📍

Updated Business Mailing Address June 15, 2009

Registered at 901 BIESTERFIELD RD, SUITE 300, ELK GROVE VILLAGE, IL 600073392 (Tel: 8474725161)

👤

Provider Name / Credentials Updated June 15, 2009

Recorded as KODY LEWIS, PA C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2009

Physician Assistant (License #085003466 in IL)

🟢

Initial NPI Registration & Enumeration June 15, 2009

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: 1013144393

Entity Type:

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

Enumeration Date: June 15, 2009

Last Update: July 22, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.