CODY GLENN WHITE (D.O.) – Family Medicine Physician, NPI 1528477213

CODY GLENN WHITE (D.O.) is a healthcare provider. based in North lima, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OT016148 (PA). The NPI Number for CODY GLENN WHITE (D.O.) is 1528477213

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CODY GLENN WHITE (D.O.)
NPI
1528477213
Phone
Not provided
Address
700 E SOUTH RANGE RD
Enumeration Date
6 August 2014
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4063221000
Graduation Year
2014 (12 years ago)
PAC ID
0042586505
Group Practice PAC ID
6406889815
Professional Enrollment ID
I20171027001413
Address ID
MT590197215CO710XXNXXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for CODY GLENN WHITE (D.O.)

  • 700 E SOUTH RANGE RD

    NORTH LIMA, OH 444529532

    Phone:

    Type: Mailing

  • 24 DOCTORS LN

    SUITE 202

    CLARION, PA 162148568

    Phone: (814) 226-2500

    Type: Location

  • 710 11TH ST N

    COLUMBUS, MT 590197215

    Phone: (406) 322-1000

    Type: Location

  • PO BOX 959

    COLUMBUS, MT 590190959

    Phone: (406) 322-1000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-01-31 • Largest payer in this snapshot: UCB, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$18
View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-27

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
I20171027001413IFamily PracticeMTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44452)

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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: 6406889815View full group profile
NameSpecialtyState
Physician AssistantWY
-MT
Nurse PractitionerAZ
Family PracticeMT
Diagnostic RadiologyCO
Diagnostic RadiologyMT
Diagnostic RadiologyMT
General SurgeryWY
-OR
Diagnostic RadiologyMT

Reviews

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Frequently asked questions

What federal number belongs to CODY GLENN WHITE (D.O.)?
The federal identifier for CODY GLENN WHITE (D.O.) is NPI 1528477213.
Is CODY GLENN WHITE (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CODY GLENN WHITE (D.O.) treat or focus on?
Patients typically see CODY GLENN WHITE (D.O.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does CODY GLENN WHITE (D.O.) practice in Ohio?
You will see North Lima, Ohio on file for CODY GLENN WHITE (D.O.) alongside any extra practice locations.
What if North Lima, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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