CODY E BILDERBACK FNP
NPI 1467890657
Nurse Practitioner - Family in Alton, IL

Active since June 10, 2013PECOS EnrolledAccepts Medicare Assignment
4 MEMORIAL DR STE 230B, ALTON, IL 62002(618) 463-7874 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2023, Feb 5, 2021, Jan 7, 2021 and 1 more (4 updates tracked since 2016).

About Cody E Bilderback Fnp NPPES

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

CODY E BILDERBACK FNP (NPI 1467890657) is an individual family provider in Alton, Illinois, licensed in Illinois (209010451) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467890657
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCODY E BILDERBACKCredential: FNP
Location Address4 MEMORIAL DR STE 230BAlton, IL 62002-6705
Mailing Address4 Memorial Dr Ste 230bAlton, IL 62002-6705 · (618) 463-7874
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 10, 2013
Last NPPES UpdateMay 9, 20234 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1467890657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209010451 Licensed in MO · 2013012822
4 MEMORIAL DR STE 230B, Alton, IL 62002

Other Names 1

Former Name (1)Cody E Basciano Fnp

Secondary Practice Location 1

Location 111125 Dunn Rd, Ste 406Saint Louis, MO 63136-6132 · Phone (314) 653-5484 · Fax (314) 653-5483

Other Identifiers 1

Other2013012822MO · Mo License

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 E Bilderback Fnp 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 ID5092949537
PECOS Enrollment IDI20210122002485
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
186 services151 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
159 services130 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 5

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

Nurse Practitioner (Family)
4 MEMORIAL DR STE 230B
ALTON, IL 62002
Otolaryngology (Facial Plastic Surgery)
4 MEMORIAL DR STE 230B
ALTON, IL 62002
Surgery
4 MEMORIAL DR STE 230B
ALTON, IL 62002
Internal Medicine (Gastroenterology)
4 MEMORIAL DR STE 230B
ALTON, IL 62002
Internal Medicine (Infectious Disease)
4 MEMORIAL DR STE 230B
ALTON, IL 62002

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 Bilderback's NPI number?

The NPI number for Cody Bilderback is 1467890657. It was assigned to this individual provider in the NPPES registry on June 10, 2013. The provider is also known as Cody E Basciano Fnp.

Where is Cody Bilderback located?

Cody Bilderback practices at 4 Memorial Dr Ste 230B, Alton, IL 62002. The listed phone number is (618) 463-7874.

What is Cody Bilderback's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cody Bilderback enrolled in Medicare?

Yes. Cody Bilderback 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.

When was this NPI record last updated?

The NPPES record for Cody Bilderback was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.