CODY JORDAN HARRIS (PA-C) – Medical Physician Assistant, NPI 1306343512
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for CODY JORDAN HARRIS (PA-C)
5612, Saint James Road, Waldo Township, Marion County, Ohio, 43356, United States
WALDO, OH 433569110
Phone: (740) 225-3833
Type: Mailing
376 BENJAMIN ST
DELAWARE, OH 430157523
Phone:
Type: Mailing
970, Prospect Street, Fountain Square, Indianapolis, Marion, Indiana, 46203, United States
MARION, OH 433026225
Phone: (740) 382-9293
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $1,631.
Total Amount is formed as General ($1,631) + Research ($0) + Ownership ($0) = $1,631.
Last reported payment date: 2024-12-22 • Largest payer in this snapshot: ABBVIE INC. ($424).
Total Amount
$1,631
General + Research + Ownership
Payments
91
Total payment records
General Amount
$1,631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $424 |
| AstraZeneca Pharmaceuticals LP | $293 |
| Novo Nordisk Inc | $204 |
| Amgen Inc. | $92 |
| Otsuka America Pharmaceutical, Inc. | $89 |
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: 2024-09-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240917003354 | I | Physician Assistant | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43356)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH |
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