DR. CODY LAVERDIERE (DO) – Surgery Physician, NPI 1033513858

DR. CODY LAVERDIERE (DO) is a healthcare provider. based in Bend, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. O-1600 (ID). The NPI Number for DR. CODY LAVERDIERE (DO) is 1033513858

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. CODY LAVERDIERE (DO)
NPI
1033513858
Phone
(541) 382-8346
Address
2200 NE NEFF RD STE 204
Enumeration Date
22 October 2014
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413828346
Graduation Year
2019 (7 years ago)
PAC ID
9739414624
Group Practice PAC ID
2860592854
Professional Enrollment ID
I20250818002646
Address ID
OR977014281BE2200XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:11State licenses:2Digital endpointsOther names

530 GENERAL SURGERY in OR

Provider Addresses for DR. CODY LAVERDIERE (DO)

  • 2200 NE NEFF RD STE 204

    BEND, OR 977014281

    Phone: (541) 382-8346

    Fax: (541) 382-5796

    Type: Mailing

  • 759 CHESTNUT ST

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-0000

    Type: Mailing

  • 2003 KOOTENAI HEALTH WAY

    COEUR D ALENE, ID 838146051

    Phone: (208) 625-4000

    Type: Mailing

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: 2025-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250818002426IGeneral SurgeryWATBD
I20250818002646IGeneral SurgeryORTBD

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
99284Emergency department visit with moderate level of medical decision making278273$0
99285Emergency department visit with high level of medical decision making232225$0
99291Critical care, first 30-74 minutes9692$0
99283Emergency department visit with low level of medical decision making5857$0
12002Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm1111$0
View full utilization report →

Insurance plans in this area (ZIP 97701)

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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: 2860592854View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. CODY LAVERDIERE (DO)?
The federal identifier for DR. CODY LAVERDIERE (DO) is NPI 1033513858.
Is DR. CODY LAVERDIERE (DO) currently active in the NPI registry?
CMS-published data lists DR. CODY LAVERDIERE (DO) as an active registrant.
What field does DR. CODY LAVERDIERE (DO) work in?
You can think of DR. CODY LAVERDIERE (DO) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CODY LAVERDIERE (DO)'s primary listing?
We display Bend, Oregon because that is what the record indicates for DR. CODY LAVERDIERE (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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