CODY PAUL CARTER DO
NPI 1174012132
Internal Medicine - Interventional Cardiology in Grand Rapids, MI

Q: 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.

Q: What is Cody Carter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cody Carter was last updated on August 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2018PECOS Enrolled

2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525(616) 885-5000(616) 885-5020 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2020, May 5, 2018 (2 updates tracked since 2018).

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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 Grand Rapids, Michigan, licensed in Michigan (5101028747) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174012132

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameCODY PAUL CARTERCredential: DO

Location Address2900 BRADFORD ST NEGrand Rapids, MI 49525-6427

Mailing Address2900 Bradford St NeGrand Rapids, MI 49525-6427 · (616) 885-5000 · Fax (616) 885-5020

Phone(616) 885-5000

Fax(616) 885-5020

Sole ProprietorYes

Enumeration DateMay 5, 2018

Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1174012132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MI · 5101028747

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 34.014756 (OH)

2900 BRADFORD ST NE, Grand Rapids, MI 49525

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Paul Carter Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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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.

MR. MARK COLTON PA-C

Physician Assistant