MR. CODY MICHAEL BENEDICT O.D
NPI 1376146373
Optometrist in Pine City, MN

Active since November 20, 2020PECOS EnrolledAccepts Medicare Assignment
110 EVERGREEN SQ SW, PINE CITY, MN 55063(320) 629-7262 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2022, Dec 2, 2020, Nov 20, 2020 (3 updates tracked since 2020).

About Mr. Cody Michael Benedict O.d NPPES

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

MR. CODY MICHAEL BENEDICT O.D (NPI 1376146373) is an individual optometrist in Pine City, Minnesota, licensed in Minnesota (3756) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Eden Prairie, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376146373
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. CODY MICHAEL BENEDICTCredential: O.D
Location Address110 EVERGREEN SQ SWPine City, MN 55063-2000
Mailing Address603 Oak St W Unit 1Frederic, WI 54837-8902 · (715) 566-4160
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 20, 2020
Last NPPES UpdateFebruary 25, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
NPI 1376146373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MN · 3756 Licensed in WI · 3652-35
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

110 EVERGREEN SQ SW, Pine City, MN 55063

Other Names 1

Professional Name (2)Dr. Cody M Benedict O.d

Secondary Practice Location 1

Location 18251 Flying Cloud DrEden Prairie, MN 55344-5350 · Phone (952) 829-7812

Accepted 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

Mr. Cody Michael Benedict O.d 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 ID6507278132
PECOS Enrollment IDI20220324000673
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 6

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
74 services74 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
36 services36 patients
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.
30 services22 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
28 services28 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
21 services21 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55063 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

Optometrist
110 EVERGREEN SQ SW
PINE CITY, MN 55063

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 Benedict's NPI number?

The NPI number for Cody Benedict is 1376146373. It was assigned to this individual provider in the NPPES registry on November 20, 2020. The provider is also known as Dr. Cody M Benedict O.D.

Where is Cody Benedict located?

Cody Benedict practices at 110 Evergreen Sq SW, Pine City, MN 55063. The listed phone number is (320) 629-7262.

What is Cody Benedict's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Cody Benedict enrolled in Medicare?

Yes. Cody Benedict 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 Benedict accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HealthPartners and Medica and 1 other insurer list Cody Benedict 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.

When was this NPI record last updated?

The NPPES record for Cody Benedict was last updated on February 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.