DR. CODY BLACKWELDER MD
NPI 1548824873
Surgery in Ruston, LA
About Dr. Cody Blackwelder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CODY BLACKWELDER MD (NPI 1548824873) is an individual surgery provider in Ruston, Louisiana, licensed in Louisiana (341995) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Louisiana Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Cody Blackwelder Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Cody Blackwelder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ruston, LA 71270
- Reassigned Medicare billing, Louisiana enrollment
- 36 clinicians in this Medicare group
Ruston, LA 71270
- Reassigned Medicare billing, Louisiana enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Louisiana Medical Center
Acute Care Hospitals · Ruston, LAGlenwood Regional Medical Center
Acute Care Hospitals · West Monroe, LAMonroe Surgical Hospital
Acute Care Hospitals · Monroe, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RUSTON, LA 71270
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 Blackwelder's NPI number?
The NPI number for Cody Blackwelder is 1548824873. It was assigned to this individual provider in the NPPES registry on April 22, 2019.
Where is Cody Blackwelder located?
Cody Blackwelder practices at 1200 S Farmerville St, Ruston, LA 71270. The listed phone number is (318) 255-3690.
What is Cody Blackwelder's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Cody Blackwelder enrolled in Medicare?
Yes. Cody Blackwelder 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.
Which organizations bill Medicare for Cody Blackwelder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Blackwelder reassigns Medicare benefits to 2 organizations: Green Clinic LLC (Ruston, LA) and Northern Louisiana Emergency Physicians, LLP (Ruston, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cody Blackwelder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cody Blackwelder accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 4 other insurers list Cody Blackwelder 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 Cody Blackwelder affiliated with any hospitals?
According to CMS data, Cody Blackwelder is affiliated with Northern Louisiana Medical Center, Glenwood Regional Medical Center and Monroe Surgical Hospital.
When was this NPI record last updated?
The NPPES record for Cody Blackwelder was last updated on October 10, 2024. 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.
# Dr. Cody Blackwelder, MD · NPI 1548824873
Surgery physician in Ruston, Louisiana. Individual provider, active in the CMS NPPES registry since April 22, 2019.
## Identity
- **NPI:** 1548824873 (Entity type: Individual)
- **Enumerated:** April 22, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 341995 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 S FARMERVILLE ST, Ruston, LA 71270-5941
- **Phone:** (318) 255-3690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Green Clinic LLC (NPI 1831178755, Ruston, LA); Northern Louisiana Emergency Physicians, LLP (NPI 1588828172, Ruston, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2019
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1548824873) · Data from the CMS NPPES public registry.