CODY MARIE ELMORE (MD) – Emergency Medicine Physician, NPI 1174725279

CODY MARIE ELMORE (MD) is a healthcare provider. based in Lafayette, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01062434A (IN). The NPI Number for CODY MARIE ELMORE (MD) is 1174725279

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CODY MARIE ELMORE (MD)
NPI
1174725279
Phone
(765) 448-8000
Address
PO BOX 5545
Enumeration Date
1 June 2007
Last Update Date
5 March 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3173923211
Graduation Year
2005 (21 years ago)
PAC ID
9739252453
Group Practice PAC ID
9931172863
Professional Enrollment ID
I20080714000411
Address ID
IN461768580SH2451XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

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Provider Addresses for CODY MARIE ELMORE (MD)

  • Prophetstown Aquatic Center, 5545, Swisher Road, West Lafayette, Tippecanoe County, Indiana, 47906, United States

    LAFAYETTE, IN 479035545

    Phone: (765) 448-8000

    Type: Mailing

  • 2600, Greenbush Street, Eastwich, Lafayette, Tippecanoe County, Indiana, 47904, United States

    LAFAYETTE, IN 479042477

    Phone: (765) 448-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-07-14

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
I20080714000411IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making178176$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6860$0
99284Emergency department visit with moderate level of medical decision making6462$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 47903)

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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: 9931172863View full group profile
NameSpecialtyState
Emergency MedicineIN
Emergency MedicineIN
Emergency MedicineIN
-IN
Emergency MedicineIN
Emergency MedicineIN
Emergency MedicineIN
Emergency MedicineIN
Physician AssistantIN
-IN

Reviews

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Frequently asked questions

Does CODY MARIE ELMORE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CODY MARIE ELMORE (MD) uses 1174725279.
Does CMS list CODY MARIE ELMORE (MD) as active?
Yes — CODY MARIE ELMORE (MD) is active in the NPI listing used on this page.
What taxonomy line describes CODY MARIE ELMORE (MD)?
For research purposes, treat CODY MARIE ELMORE (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is CODY MARIE ELMORE (MD) based?
CODY MARIE ELMORE (MD) is tied to Lafayette, Indiana in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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