CODY WALTER MCCOMBS
NPI 1467289629
Physician Assistant in Tampa, FL

Active since September 19, 2024PECOS EnrolledAccepts Medicare Assignment
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7365(813) 449-8618 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 18, 2025, Sep 19, 2024 (2 updates tracked since 2024).

About Cody Walter Mccombs NPPES

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

CODY WALTER MCCOMBS (NPI 1467289629) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9119300) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467289629
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCODY WALTER MCCOMBS
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-7365 · Fax (813) 449-8618
Fax(813) 449-8618
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 19, 2024
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1467289629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9119300
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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 Walter Mccombs 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 ID5991232209
PECOS Enrollment IDI20241227002324
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 33612 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology (Pain Medicine)
12902 USF MAGNOLIA DR, WCB, 2ND FLOOR/ANESTHESIA
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MCB-ANES
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MDC 44
TAMPA, FL 33612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467289629, enumerated as an "individual" on September 19, 2024.

The provider is located at 12902 USF MAGNOLIA DR TAMPA, FL 33612 and the phone number is (813) 745-7365.

Physician Assistant with taxonomy code 363A00000X.