DR. SUSAN R CORDES (M.D.) – Otolaryngology Physician, NPI 1285668707

DR. SUSAN R CORDES (M.D.) is a healthcare provider. based in Lodi, California. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 01043929A (IN). The NPI Number for DR. SUSAN R CORDES (M.D.) is 1285668707

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN R CORDES (M.D.)
NPI
1285668707
Phone
(209) 952-0483
Address
801 S Ham Ln Ste O
Enumeration Date
10 July 2006
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2099520483
Graduation Year
1993 (33 years ago)
PAC ID
2860597507
Group Practice PAC ID
6204905342
Professional Enrollment ID
I20140728002724
Address ID
CA952197288ST10200PKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,359 OTOLARYNGOLOGY in CA

Provider Addresses for DR. SUSAN R CORDES (M.D.)

  • 801 S Ham Ln Ste O

    Lodi, CA 952427502

    Phone: (209) 952-0483

    Fax: (209) 478-5785

    Type: Location

  • 550 W Eaton Ave Ste 548

    Tracy, CA 953763422

    Phone: (209) 952-0483

    Fax: (209) 478-5785

    Type: Location

  • 1111 EXPOSITION BLVD BLDG 700

    SACRAMENTO, CA 958154314

    Phone: (916) 736-3399

    Fax: (916) 736-3350

    Type: Mailing

  • Trinity Parkway, Stockton, San Joaquin County, California, 95209, United States

    STOCKTON, CA 952197288

    Phone: (209) 952-0483

    Fax: (209) 478-5785

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $2,613.

Total Amount is formed as General ($2,613) + Research ($0) + Ownership ($0) = $2,613.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($1,428).

Total Amount

$2,613

General + Research + Ownership

Payments

100

Total payment records

General Amount

$2,613

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140728002724IOtolaryngologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes307188$0
99214Established patient office or other outpatient visit, 30-39 minutes217144$0
92557Comprehensive hearing and speech recognition test170158$0
69210Removal of impacted ear wax153102$0
99203New patient office or other outpatient visit, 30-44 minutes113113$0
View full utilization report →

Insurance plans in this area (ZIP 95242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204905342View full group profile
NameSpecialtyState
Physician AssistantCA
-CA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
O T O L A R Y N G O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
O T O L A R Y N G O L O G YCA
Qualified AudiologistTN
Qualified AudiologistCA

Reviews

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Frequently asked questions

What federal number belongs to DR. SUSAN R CORDES (M.D.)?
The federal identifier for DR. SUSAN R CORDES (M.D.) is NPI 1285668707.
Is DR. SUSAN R CORDES (M.D.) currently active in the NPI registry?
CMS-published data lists DR. SUSAN R CORDES (M.D.) as an active registrant.
Does DR. SUSAN R CORDES (M.D.) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for DR. SUSAN R CORDES (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. SUSAN R CORDES (M.D.)'s primary listing?
We display Lodi, California because that is what the record indicates for DR. SUSAN R CORDES (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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