CODY A EZOLT PA-C
NPI 1154983757
Physician Assistant in Waynesboro, PA

Q: What is Cody Ezolt's NPI number?

The NPI number for Cody Ezolt is 1154983757. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Q: What is Cody Ezolt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Ezolt was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 03, 2019PECOS EnrolledAccepts Medicare Assignment

601 E MAIN ST, WAYNESBORO, PA 17268(717) 765-5088(717) 765-5066 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2022, Oct 1, 2021, Apr 12, 2021 and 7 more (10 updates tracked since 2019).

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About Cody A Ezolt Pa-c NPPES

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

CODY A EZOLT PA-C (NPI 1154983757) is an individual physician assistant in Waynesboro, Pennsylvania, licensed in Pennsylvania (MA060824) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154983757

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCODY A EZOLTCredential: PA-C

Location Address601 E MAIN STWaynesboro, PA 17268-2332

Mailing Address785 5th Ave Ste 3Chambersburg, PA 17201-4232 · (717) 263-9555

Phone(717) 765-5088

Fax(717) 765-5066

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 3, 2019

Last NPPES UpdateMay 12, 202210 updates tracked since enumeration

NPPES CertifiedMay 12, 2022

✔ NPI 1154983757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA060824

Definition

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.

601 E MAIN ST, Waynesboro, PA 17268

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Secondary Practice Locations 3

Location 11000 Norland AveChambersburg, PA 17201-4229 · Phone (717) 267-6363 · Fax (717) 217-6937

Location 246 Walnut Bottom Rd Ste 100Shippensburg, PA 17257-8219 · Phone (717) 477-2764 · Fax (717) 217-4207

Location 324 Antrim Commons DrGreencastle, PA 17225-1623 · Phone (717) 597-5553 · Fax (717) 597-5522

Other Identifiers 3

Other14497750Caqh

OtherMA060824PA · Pa License

Medicaid103650235PA

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

Cody A Ezolt 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 ID4082940143

PECOS Enrollment IDI20190726000851

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.

Hospital Affiliations CMS Care Compare

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

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390036

Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17268 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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

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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.

MATTHEW C PAULI D.O.

Physical Medicine & Rehabilitation