CODY LEE KIDD DO
NPI 1508516873
Family Medicine in Cheraw, SC

Q: What is Cody Kidd's NPI number?

The NPI number for Cody Kidd is 1508516873. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Cody Kidd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Kidd was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment

710 CHESTERFIELD HWY, CHERAW, SC 29520(843) 537-2171 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cody Lee Kidd Do NPPES

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

CODY LEE KIDD DO (NPI 1508516873) is an individual family medicine provider in Cheraw, South Carolina, licensed in South Carolina (87607) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and is a graduate of Lincoln Memorial University Medical Department (2022).

NPPES Registry Identity

NPI1508516873

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCODY LEE KIDDCredential: DO

Location Address710 CHESTERFIELD HWYCheraw, SC 29520-7001

Mailing Address555 E Cheves StFlorence, SC 29506-2617

Phone(843) 537-2171

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2022

Enumeration DateMarch 28, 2022

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1508516873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 87607

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

710 CHESTERFIELD HWY, Cheraw, SC 29520

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Cody Lee Kidd Do 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 ID4486037330

PECOS Enrollment IDI20240212002317

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.

Hospital Affiliations CMS Care Compare 3

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

Carolina Pines Regional Medical Center

Acute Care Hospitals · Hartsville, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420010

Location1304 W Bobo Newsom HwyHartsville, SC 29550 · Darlington County

Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Mcleod Health Cheraw

Acute Care Hospitals · Cheraw, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420107

Location711 Chesterfield HighwayCheraw, SC 29520 · Chesterfield County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29520 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

COOPER ELLIS STONE

Nurse Practitioner (Family)