CODY E PATTERSON DO
NPI 1053986059
Family Medicine in Pocatello, ID

Q: What is Cody Patterson's NPI number?

The NPI number for Cody Patterson is 1053986059. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Q: What is Cody Patterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Patterson was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2021PECOS EnrolledAccepts Medicare Assignment

151 N 4TH AVE, POCATELLO, ID 83201(208) 269-7147(208) 416-6522 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2024, May 21, 2021 (2 updates tracked since 2021).

On this page

About Cody E Patterson Do NPPES

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

CODY E PATTERSON DO (NPI 1053986059) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (01861) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Rocky Vista University College Of Osteopathic Med (2021).

NPPES Registry Identity

NPI1053986059

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCODY E PATTERSONCredential: DO

Location Address151 N 4TH AVEPocatello, ID 83201

Mailing Address151 N 4th Ave, Suite BPocatello, ID 83201 · (208) 269-7147 · Fax (208) 416-6522

Phone(208) 269-7147

Fax(208) 416-6522

Sole ProprietorYes

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2021

Enumeration DateMay 21, 2021

Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1053986059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · 01861✔ Licensed in ID · MRO-2046

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

151 N 4TH AVE, Pocatello, ID 83201

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cody E Patterson Do 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 ID5799187613

PECOS Enrollment IDI20240701001535

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.

Medicare Billing Reassignments

Medicare enrollment records show Cody Patterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health West, Inc.

0.5 mi

Federally Qualified Health Center (FQHC)

325 N ARTHUR AVE
Pocatello, ID 83204

Reassigned Medicare billing, Idaho enrollment
63 clinicians in this Medicare group

NPI 1124794060 (208) 232-7862

Pocatello Health Services, LLC

0.7 mi

General Acute Care Hospital

651 MEMORIAL DR
Pocatello, ID 83201

Reassigned Medicare billing, Idaho enrollment
190 clinicians in this Medicare group

NPI 1689802852 (208) 239-2110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.

48 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

SPECIALIZED FAMILY MEDICINE

Family Medicine

151 N 4TH AVE, SUITE B
POCATELLO, ID 83201

Bannock County (208) 369-7147

JORDAN LYLE BAILEY M.D.

Family Medicine

151 N 4TH AVE, SUITE B
POCATELLO, ID 83201

Bannock County (208) 269-7147

CAMILLE R BLOXHAM MASSAGE THERAPIST

Massage Therapist

151 N 4TH AVE
POCATELLO, ID 83201

Bannock County (208) 637-2225

DR. JEFFREY MAX WILLIAMS DC

Chiropractor

151 N 4TH AVE, STE A
POCATELLO, ID 83201

Bannock County (208) 637-2225

J GORRICETA PLLC

Clinic/Center (Physical Therapy)

151 N 4TH AVE, STE A
POCATELLO, ID 83201

Bannock County (208) 534-8330

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 Cody Patterson's NPI number?

The NPI number for Cody Patterson is 1053986059. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Cody Patterson located?

Cody Patterson practices at 151 N 4th Ave, Pocatello, ID 83201. The listed phone number is (208) 269-7147.

What is Cody Patterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cody Patterson enrolled in Medicare?

Yes. Cody Patterson 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.

Which organizations bill Medicare for Cody Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Patterson reassigns Medicare benefits to 2 organizations: Health West, Inc. (Pocatello, ID) and Pocatello Health Services, LLC (Pocatello, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cody Patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Patterson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and University of Utah Health Plans list Cody Patterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cody Patterson affiliated with any hospitals?

According to CMS data, Cody Patterson is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Cody Patterson was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.