CODI CRAIG (PAC) – Physician Assistant, NPI 1396289005
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for CODI CRAIG (PAC)
1713 US HIGHWAY 441 N
SUITE H
OKEECHOBEE, FL 349721900
Phone: (863) 357-1510
Fax: (863) 357-1518
Type: Mailing
1926 ALCOA HWY STE F210
KNOXVILLE, TN 379201545
Phone: (865) 305-2495
Fax: (865) 305-2496
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $517.
Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ATRICURE, INC. ($107).
Total Amount
$517
General + Research + Ownership
Payments
24
Total payment records
General Amount
$517
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $107 |
| AstraZeneca Pharmaceuticals LP | $73 |
| Baxter Healthcare | $56 |
| Smith+Nephew, Inc. | $51 |
| La Jolla Pharmaceutical Company | $51 |
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: 2024-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170216002636 | I | Physician Assistant | FL | TBD |
| I20211103000960 | I | Physician Assistant | TN | TBD |
| I20220110001814 | I | Physician Assistant | NY | TBD |
| I20220224002072 | I | Physician Assistant | VT | TBD |
| I20220302002857 | I | Physician Assistant | IL | TBD |
| I20220707002915 | I | Physician Assistant | VA | TBD |
| I20220822000598 | I | Physician Assistant | MD | TBD |
| I20220822002636 | I | Physician Assistant | DC | TBD |
| I20220823002608 | I | Physician Assistant | PA | TBD |
| I20230111001148 | I | Physician Assistant | NJ | TBD |
| I20230228002311 | I | Physician Assistant | NC | TBD |
| I20230405001685 | I | Physician Assistant | MA | TBD |
| I20240328002985 | I | Physician Assistant | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 381 | 195 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 336 | 144 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 91 | 91 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 75 | 66 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 51 | 50 | $0 |
Insurance plans in this area (ZIP 34972)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Certified Nurse Midwife (Cnm) | TN | |
| - | TN | |
| Surgical Oncology | TN | |
| - | SC | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN |
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