DR. CODY MICHAEL LONG MD
NPI 1588292122
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since March 30, 2020PECOS Enrolled
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-5864 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Mar 30, 2020 (2 updates tracked since 2020).

About Dr. Cody Michael Long Md NPPES

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

DR. CODY MICHAEL LONG MD (NPI 1588292122) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD496306) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Cooper Medical School Of Rowan University (2020).

NPPES Registry Identity

NPI1588292122
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CODY MICHAEL LONGCredential: MD
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105
Sole ProprietorNo
Medical School CMSCooper Medical School Of Rowan UniversityGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1588292122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD496306
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3401 N BROAD ST, Philadelphia, PA 19140

Secondary Practice Location 1

Location 1800 Spruce StPhiladelphia, PA 19107-6130 · Phone (215) 829-5410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cody Michael Long Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830657550
PECOS Enrollment IDI20260813000856
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.

Medicare Billing Reassignment

Medicare enrollment records show Cody Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
3401 N BROAD ST, 5TH FLOOR OUTPATIENT BUILDING
Phila, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Long's NPI number?

The NPI number for Cody Long is 1588292122. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Cody Long located?

Cody Long practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-5864.

What is Cody Long's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Cody Long enrolled in Medicare?

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

Which organization bills Medicare for Cody Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Long reassigns Medicare benefits to Temple Physicians Inc (Phila, PA). The 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 Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cody Long was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.