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CODY ALLEN WALTER DO, MPH, MSA
NPI 1417844184
Pediatrics in Springfield, IL

Active since June 23, 2025PECOS Enrolled
400 N 9TH ST # 4A, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-2303 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Jun 30, 2025, Jun 23, 2025 (3 updates tracked since 2025).

About Cody Allen Walter Do, Mph, Msa NPPES

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

CODY ALLEN WALTER DO, MPH, MSA (NPI 1417844184) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (125086825) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417844184
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCODY ALLEN WALTERCredential: DO, MPH, MSA
Location Address400 N 9TH ST # 4ASpringfield, IL 62702-5310
Mailing AddressPo Box 19658Springfield, IL 62794-9658 · (217) 545-8000 · Fax (217) 545-2303
Phone(217) 545-8000
Fax(217) 545-2303
Sole ProprietorNo
Enumeration DateJune 23, 2025
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1417844184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125086825
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
400 N 9TH ST # 4A, Springfield, IL 62702
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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 Allen Walter Do, Mph, Msa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

JOHN PADANILAM
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
FIYINFOLUWA PRISCILLA SOLUADE MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. SASKIA D'SA MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
CECELIA LAI MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
FATIMAH GADELTAYEB MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. MINAHIL ROSHAN MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SHOVANA GHIMIRE MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BLAKE ASHLEY GRAY MD
Pediatrics
400 N 9TH ST # 4A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Walter's NPI number?

The NPI number for Cody Walter is 1417844184. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Cody Walter located?

Cody Walter practices at 400 N 9th St # 4A, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Cody Walter's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Cody Walter enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cody Walter was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.