CODY RIDER (D.O.) – Emergency Medicine Physician, NPI 1063778553

CODY RIDER (D.O.) is a healthcare provider. based in Canton, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 34.011190 (OH). The NPI Number for CODY RIDER (D.O.) is 1063778553

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CODY RIDER (D.O.)
NPI
1063778553
Phone
(330) 456-2695
Address
2600 6TH ST SW
Enumeration Date
9 April 2012
Last Update Date
1 July 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
3304562695
Graduation Year
2012 (14 years ago)
PAC ID
4385957125
Group Practice PAC ID
2961307319
Professional Enrollment ID
I20150722004691
Address ID
OH447101702CA2600XSWXX400

Contacts

Secure Messaging
Cody.Rider@direct.aultman.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for CODY RIDER (D.O.)

  • 2600 6TH ST SW

    CANTON, OH 44710

    Phone: (330) 456-2695

    Mailing address matches the actual address.

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: 2015-07-22

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
I20150722004691IEmergency MedicineOHTBD

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 making109107$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7975$0
99284Emergency department visit with moderate level of medical decision making7573$0
99283Emergency department visit with low level of medical decision making2019$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 44710)

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Provider's Procedures

CODY RIDER (D.O.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report292265

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: 2961307319View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Physician AssistantOH
Emergency MedicineOH
Emergency MedicineOH

Reviews

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Frequently asked questions

What NPI should I save for CODY RIDER (D.O.)?
Save NPI 1063778553 if you need a stable reference for CODY RIDER (D.O.).
Is CODY RIDER (D.O.) active in the national directory?
CODY RIDER (D.O.)'s public NPI profile is in an active state.
What does CODY RIDER (D.O.) treat or focus on?
Patients typically see CODY RIDER (D.O.) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does CODY RIDER (D.O.) practice in Ohio?
You will see Canton, Ohio on file for CODY RIDER (D.O.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.