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CODEY GILLUM PA-C
NPI 1023416781
Physician Assistant - Surgical in Roxbury Crossing, MA

Active since December 11, 2014PECOS EnrolledAccepts Medicare Assignment
125 PARKER HILL AVE, ROXBURY CROSSING, MA 02120(617) 754-5000 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Codey Gillum Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODEY GILLUM PA-C (NPI 1023416781) is an individual surgical provider in Roxbury Crossing, Massachusetts, licensed in Massachusetts (PA5223) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with New England Baptist Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023416781
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCODEY GILLUMCredential: PA-C
Location Address125 PARKER HILL AVERoxbury Crossing, MA 02120-2847
Mailing Address125 Parker Hill AveRoxbury Crossing, MA 02120-2847 · (617) 754-5000
Phone(617) 754-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 11, 2014
✔ NPI 1023416781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · PA5223
125 PARKER HILL AVE, Roxbury Crossing, MA 02120
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Codey Gillum Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466769674
PECOS Enrollment IDI20150921003242
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
50 services20 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
50 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services30 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
30 services20 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
30 services29 patients
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551
This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New England Baptist Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220088
Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier24 claims24 services$3,738.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FREDERICK CALVIN BASILICO M.D.
Internal Medicine (Interventional Cardiology)
125 PARKER HILL AVE, STE 450
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5910
DR. JUDITH ANN WALIGUNDA M.D.
Internal Medicine
125 PARKER HILL AVE, SUITE #450
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5910
DAVID H KIM M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
125 PARKER HILL AVE, CONVERSE 4
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5595
ERIC J WOODARD M.D.
Neurological Surgery
125 PARKER HILL AVE, CONVERSE 4
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-6576
JOEL NEWMAN MD
Specialist
125 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-6687
MICHAEL RUHOY MD
Radiology (Diagnostic Radiology)
125 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-6687
DAMON SPITZ MD
Specialist
125 PARKER HILL AVE
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5800
ROBERT BANCO, MD PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
125 PARKER HILL AVE, CONVERSE 4
ROXBURY CROSSING, MA 02120
Suffolk County (617) 754-5630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codey Gillum's NPI number?

The NPI number for Codey Gillum is 1023416781. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Codey Gillum located?

Codey Gillum practices at 125 Parker Hill Ave, Roxbury Crossing, MA 02120. The listed phone number is (617) 754-5000.

What is Codey Gillum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Codey Gillum enrolled in Medicare?

Yes. Codey Gillum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Codey Gillum affiliated with any hospitals?

According to CMS data, Codey Gillum is affiliated with New England Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Codey Gillum was last updated on December 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.