CODY ROBERTSON
NPI 1225560675
Family Medicine in Newberry, SC

Q: What is Cody Robertson's NPI number?

The NPI number for Cody Robertson is 1225560675. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Cody Robertson'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 Robertson was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

2605 KINARD ST, NEWBERRY, SC 29108(803) 405-1900(803) 405-1919 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2025, Sep 8, 2022, Jun 2, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Cody Robertson NPPES

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

CODY ROBERTSON (NPI 1225560675) is an individual family medicine provider in Newberry, South Carolina, licensed in South Carolina (84922) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Newberry County Memorial Hospital, and is a graduate of University Of Mississippi School Of Medicine (2017).

NPPES Registry Identity

NPI1225560675

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCODY ROBERTSON

Location Address2605 KINARD STNewberry, SC 29108-2967

Mailing Address2605 Kinard StNewberry, SC 29108-2967 · (803) 405-1900 · Fax (803) 405-1919

Phone(803) 405-1900

Fax(803) 405-1919

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2017

Enumeration DateApril 3, 2017

Last NPPES UpdateMarch 28, 20254 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1225560675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 84922

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.

2605 KINARD ST, Newberry, SC 29108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 Robertson 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 ID7517239676

PECOS Enrollment IDI20200923003283

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 3

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

37 services21 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

12 services12 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Newberry County Memorial Hospital

Acute Care Hospitals · Newberry, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number420053

Location2669 Kinard St PO Box 497Newberry, SC 29108 · Newberry County

Emergency services Birthing friendly

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29108 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

MADELYN GARCIA PA-C

Physician Assistant (Medical)

2605 KINARD ST, SUITE 200
NEWBERRY, SC 29108

Newberry County (803) 405-1900

NXE LLC

Clinic/Center (Radiology)

2605 KINARD ST, STE 206
NEWBERRY, SC 29108

Newberry County (803) 276-9503

MISS HAYLEY ANNE HUNT LMT

Massage Therapist

2605 KINARD ST, SUITE 208
NEWBERRY, SC 29108

Newberry County (803) 276-4860

SHAKISHA T REDMOND PAC

Physician Assistant (Medical)

2605 KINARD ST, SUITE 200
NEWBERRY, SC 29108

Newberry County (803) 405-1900

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 Robertson's NPI number?

The NPI number for Cody Robertson is 1225560675. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Cody Robertson located?

Cody Robertson practices at 2605 Kinard St, Newberry, SC 29108. The listed phone number is (803) 405-1900.

What is Cody Robertson's specialty?

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

Is Cody Robertson enrolled in Medicare?

Yes. Cody Robertson 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.

What insurance does Cody Robertson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Cody Robertson 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 Robertson affiliated with any hospitals?

According to CMS data, Cody Robertson is affiliated with Newberry County Memorial Hospital and Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Cody Robertson was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.