CODY L EATON (PAC) – Physician Assistant, NPI 1487326104

CODY L EATON (PAC) is a healthcare provider. based in Brewer, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA2222 (ME). The NPI Number for CODY L EATON (PAC) is 1487326104

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CODY L EATON (PAC)
NPI
1487326104
Phone
(207) 989-1567
Address
735 Wilson St
Enumeration Date
30 September 2021
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2021 (5 years ago)
PAC ID
9032507348
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20211019001252
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for CODY L EATON (PAC)

  • 735 Wilson St

    Brewer, ME 044121000

    Phone: (207) 989-1567

    Fax: (207) 989-2286

    Type: Location

  • 735 WILSON ST

    BREWER, ME 044121000

    Phone: (207) 989-1567

    Fax: (207) 989-2286

    Type: Location

  • PO BOX 1599

    BANGOR, ME 044021599

    Phone: (207) 404-8200

    Fax: (207) 947-0435

    Type: Mailing

  • 108 CENTRE ST

    BATH, ME 045302550

    Phone: (207) 386-1800

    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: 2021-10-19

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
I20211019001252IPhysician AssistantMETBD

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
81003Automated urinalysis test1414$0
View full utilization report →

Insurance plans in this area (ZIP 04412)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

How is CODY L EATON (PAC) identified in CMS data?
CMS-hosted NPPES data lists CODY L EATON (PAC) with NPI 1487326104.
Does CMS list CODY L EATON (PAC) as active?
Yes — CODY L EATON (PAC) is active in the NPI listing used on this page.
What taxonomy line describes CODY L EATON (PAC)?
For research purposes, treat CODY L EATON (PAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CODY L EATON (PAC)?
CODY L EATON (PAC)'s geographic hint is Brewer, Maine in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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