CODY RYAN CANTRELL (PAC) – Physician Assistant, NPI 1285219428

CODY RYAN CANTRELL (PAC) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA210353 (OR). The NPI Number for CODY RYAN CANTRELL (PAC) is 1285219428

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CODY RYAN CANTRELL (PAC)
NPI
1285219428
Phone
(833) 646-3633
Address
360 E 10TH AVE STE 308
Enumeration Date
9 March 2021
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8336463633
Graduation Year
2021 (5 years ago)
PAC ID
0345627642
Group Practice PAC ID
7810386398
Professional Enrollment ID
I20220505002331
Address ID
OR974013978EU1307XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for CODY RYAN CANTRELL (PAC)

  • 360 E 10TH AVE STE 308

    EUGENE, OR 974013687

    Phone: (833) 646-3633

    Type: Mailing

  • 2400 HARTMAN LN

    SPRINGFIELD, OR 974771118

    Phone: (541) 334-3350

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32).

Total Amount

$155

General + Research + Ownership

Payments

7

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-05-05

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
I20220505002331IPhysician AssistantORTBD

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
81002Urinalysis, manual test277217$0
99213Established patient office or other outpatient visit, 20-29 minutes266201$0
51798Ultrasound measurement of bladder capacity after voiding258196$0
99204New patient office or other outpatient visit, 45-59 minutes107107$0
51702Simple insertion of temporary bladder tube9130$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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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: 7810386398View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I use this page to confirm CODY RYAN CANTRELL (PAC)'s NPI?
Yes. CODY RYAN CANTRELL (PAC) is listed with NPI 1285219428 in the public NPI dataset.
Does CMS list CODY RYAN CANTRELL (PAC) as active?
Yes — CODY RYAN CANTRELL (PAC) is active in the NPI listing used on this page.
What is CODY RYAN CANTRELL (PAC) best known for clinically?
Directory data describes CODY RYAN CANTRELL (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does CODY RYAN CANTRELL (PAC) list a practice location?
Patients near Eugene, Oregon may find CODY RYAN CANTRELL (PAC) in results; validate coverage separately.
Is the information about CODY RYAN CANTRELL (PAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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