MICHAEL H KODY M.D.
NPI 1407825599
Orthopaedic Surgery in Spokane, WA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
601 W 5TH AVE STE 400, SPOKANE, WA 99204(509) 344-2663(509) 624-9179 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Nov 16, 2016 (2 updates tracked since 2016).

About Michael H Kody M.d. NPPES

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

MICHAEL H KODY M.D. (NPI 1407825599) is an individual orthopaedic surgery provider in Spokane, Washington, licensed in Washington (1068238) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Specialty Hospital, and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1407825599
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL H KODYCredential: M.D.
Location Address601 W 5TH AVE STE 400Spokane, WA 99204-2715
Mailing Address601 W 5th Ave, Suite 400Spokane, WA 99204-2715 · (509) 344-2663 · Fax (509) 624-9179
Fax(509) 624-9179
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1984
Enumeration DateMarch 14, 2006
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1407825599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WA · 1068238
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License MD00028886 (WA)
601 W 5TH AVE STE 400, Spokane, WA 99204

Secondary Practice Location 1

Location 1601 W 5th Ave Ste 500Spokane, WA 99204-2756 · Phone (509) 344-8672 · Fax (509) 747-7838

Other Identifiers 12

Other379109600WA · Owcp
Medicaid0035776MT
Other1408WA · Group Health Nw
Other8929876WA · Crime Victims
Other0149068WA · Dept Of Labor & Industrie
Medicaid1068238WA
Other200040944WA · Rr Medicare
Other000010004256ID · Regence Blue Shield Of Id
Other4588KOWA · Asuris Nw Health
Other44347ID · Hmo Blue
OtherKQ506ID · Blue Cross Of Idaho
Medicaid003783300ID

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

Michael H Kody M.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 ID7719978378
PECOS Enrollment IDI20041206000375, I20090910000629
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 13

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.
159 services137 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
103 services88 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
87 services79 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
85 services78 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
42 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Lincoln Hospital

Critical Access Hospitals · Davenport, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501305
Location10 Nichols StreetDavenport, WA 99122 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
67%329 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,117 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%571 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
74%178 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%651 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
58%1,741 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%309 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%898 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 192 patients
89%187 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%1,741 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%1,741 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
54%1,741 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers11 claims11 services$53.39 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier62 claims1,158 services$21.57 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier26 claims26 services$89.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
601 W 5TH AVE STE 400
SPOKANE, WA 99204
Nurse Practitioner
601 W 5TH AVE STE 400
SPOKANE, WA 99204
Orthopaedic Surgery
601 W 5TH AVE STE 400
SPOKANE, WA 99204
Orthopaedic Surgery
601 W 5TH AVE STE 400
SPOKANE, WA 99204
Anesthesiology
601 W 5TH AVE STE 400
SPOKANE, WA 99204
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
601 W 5TH AVE STE 400
SPOKANE, WA 99204
Orthopaedic Surgery
601 W 5TH AVE STE 400
SPOKANE, WA 99204
Orthopaedic Surgery
601 W 5TH AVE STE 400
SPOKANE, WA 99204

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 Michael Kody's NPI number?

The NPI number for Michael Kody is 1407825599. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Michael Kody located?

Michael Kody practices at 601 W 5th Ave Ste 400, Spokane, WA 99204. The listed phone number is (509) 344-2663.

What is Michael Kody's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Kody enrolled in Medicare?

Yes. Michael Kody 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 Michael Kody accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael Kody 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 Michael Kody affiliated with any hospitals?

According to CMS data, Michael Kody is affiliated with Northwest Specialty Hospital, Bonner General Hospital, Prov Sacred Hrt Med Ctr & Childs Hosp. and Lincoln Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kody was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.