CODY PAUL CARTER DO
NPI 1174012132
Internal Medicine - Interventional Cardiology in Marion, OH

Active since May 05, 2018PECOS EnrolledAccepts Medicare Assignment
278 BARKS RD W, MARION, OH 43302(740) 383-7980(740) 383-3040 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Dec 8, 2020, May 5, 2018 (3 updates tracked since 2018).

About Cody Paul Carter Do NPPES

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

CODY PAUL CARTER DO (NPI 1174012132) is an individual interventional cardiology provider in Marion, Ohio, licensed in Ohio (34.014756) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Ohio University, College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1174012132
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameCODY PAUL CARTERCredential: DO
Location Address278 BARKS RD WMarion, OH 43302-7367
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(740) 383-3040
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2018
Enumeration DateMay 5, 2018
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1174012132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in OH · 34.014756
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
278 BARKS RD W, Marion, OH 43302

Accepted 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 Paul Carter 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 ID7315359684
PECOS Enrollment IDI20201209003155
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 Reassignment

Medicare enrollment records show Cody Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1040 DELAWARE AVE
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 423 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Internal Medicine (Interventional Cardiology)
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Family)
278 BARKS RD W
MARION, OH 43302
Physician Assistant
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Family)
278 BARKS RD W
MARION, OH 43302
Internal Medicine (Cardiovascular Disease)
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Adult Health)
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Acute Care)
278 BARKS RD W
MARION, OH 43302
Internal Medicine (Interventional Cardiology)
278 BARKS RD W
MARION, OH 43302

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 Carter's NPI number?

The NPI number for Cody Carter is 1174012132. It was assigned to this individual provider in the NPPES registry on May 5, 2018.

Where is Cody Carter located?

Cody Carter practices at 278 Barks Rd W, Marion, OH 43302. The listed phone number is (740) 383-7980.

What is Cody Carter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Cody Carter enrolled in Medicare?

Yes. Cody Carter 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 organization bills Medicare for Cody Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Carter reassigns Medicare benefits to Marion Area Physicians LLC (Marion, OH). The 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 Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Carter accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Cody Carter 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 Carter affiliated with any hospitals?

According to CMS data, Cody Carter is affiliated with Spectrum Health and Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Cody Carter was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.