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KODI J PUCKETT PA
NPI 1184004475
Physician Assistant - Medical in Va Beach, VA

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
4092 FOXWOOD DR, STE 100, VA BEACH, VA 23462(757) 686-3508(757) 686-0541 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kodi J Puckett Pa NPPES

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

KODI J PUCKETT PA (NPI 1184004475) is an individual medical provider in Va Beach, Virginia and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2015).

NPPES Registry Identity

NPI1184004475
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKODI J PUCKETTCredential: PA
Location Address4092 FOXWOOD DR, STE 100Va Beach, VA 23462-5225
Mailing AddressPo Box 7549Portsmouth, VA 23707-0549 · (757) 686-3525 · Fax (757) 686-0541
Phone(757) 686-3508
Fax(757) 686-0541
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2015
Enumeration DateJune 2, 2015
Last NPPES UpdateSeptember 4, 2015
✔ NPI 1184004475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4092 FOXWOOD DR, Va Beach, VA 23462
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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

Kodi J Puckett Pa 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 ID6709192768
PECOS Enrollment IDI20150904002294
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
129 services126 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
103 services102 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.71
Improvement Activities40

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.

OLIVER A AGUSTIN PA
Physician Assistant
4092 FOXWOOD DR
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 467-4200
LISA SERAPHINA BERMAN P.A-C
Physician Assistant (Medical)
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 686-3508
MOSS H MENDELSON MD
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 467-4200
DR. NATALIE SOBOTA FELDMAN M.D.
Emergency Medicine
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 686-3508
CHRISTOPHER L GIBERT MD
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 467-4200
CAROL F MCCAMMON MD
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 467-4200
DR. MARTIN A PAYNE M.D.
Emergency Medicine
4092 FOXWOOD DR, SUITE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 686-3508
DR. SUSAN J LETTERLE M.D.
Emergency Medicine
4092 FOXWOOD DR, STE 101
VIRGINIA BEACH, VA 23462
Virginia Beach City (757) 467-4200

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 Kodi Puckett's NPI number?

The NPI number for Kodi Puckett is 1184004475. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Kodi Puckett located?

Kodi Puckett practices at 4092 Foxwood Dr Ste 100, VA Beach, VA 23462. The listed phone number is (757) 686-3508.

What is Kodi Puckett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kodi Puckett enrolled in Medicare?

Yes. Kodi Puckett 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.

When was this NPI record last updated?

The NPPES record for Kodi Puckett was last updated on September 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.