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CODY ARCHIBALD
NPI 1295379071
Dermatology in New York, NY

Active since November 04, 2019PECOS Enrolled
928 BROADWAY, NEW YORK, NY 10010(810) 543-2250 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cody Archibald NPPES

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

CODY ARCHIBALD (NPI 1295379071) is an individual dermatology provider in New York, New York, licensed in New York (024283) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295379071
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameCODY ARCHIBALD
Location Address928 BROADWAYNew York, NY 10010-6008
Mailing Address928 BroadwayNew York, NY 10010-6008
Phone(810) 543-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 4, 2019
✔ NPI 1295379071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 024283
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
928 BROADWAY, New York, NY 10010
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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 (PECOS)

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

PECOS PAC ID7012346570
PECOS Enrollment IDI20200403001499
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

JOSEPH MAGGIO L.AC.
Acupuncturist
928 BROADWAY, SUITE #1200
NEW YORK, NY 10010
New York County (212) 777-1318
SYNC PSYCHOLOGICAL SERVICES, PLLC
Psychologist (Clinical)
928 BROADWAY, SUITE #803
NEW YORK, NY 10010
New York County (917) 496-5772
NICHOLAS FETZER
Social Worker (Clinical)
928 BROADWAY
NEW YORK, NY 10010
New York County (845) 464-2700
BLISS-POSTON THE SECOND WIND, INC.
Social Worker (Clinical)
928 BROADWAY, SUITE 403
NEW YORK, NY 10010
New York County (212) 481-1055
DR. VIVIAN GIANNAKAKIS D.C.
Chiropractor
928 BROADWAY, SUITE 600
NEW YORK, NY 10010
New York County (347) 871-3511
SARAH J WEISS LCSW
Social Worker (Clinical)
928 BROADWAY
NEW YORK, NY 10010
New York County (646) 450-0304
DR. SHERRY SHIEH M.D.
Dermatology
928 BROADWAY, SUITE 204
NEW YORK, NY 10010
New York County (212) 982-8229
DORA-LISAH ST. JOHN LMSW
Social Worker
928 BROADWAY
NEW YORK, NY 10010
New York County (833) 775-6252

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 Archibald's NPI number?

The NPI number for Cody Archibald is 1295379071. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Cody Archibald located?

Cody Archibald practices at 928 Broadway, New York, NY 10010. The listed phone number is (810) 543-2250.

What is Cody Archibald's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Cody Archibald enrolled in Medicare?

Yes. Cody Archibald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Archibald was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.