CODY A WALTHALL (M.D.) – Family Medicine Physician, NPI 1487009734
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for CODY A WALTHALL (M.D.)
1109 E Broadway St
Cuero, TX 77954
Phone: (361) 275-2800
Fax: (361) 275-8791
Type: Location
139 W Franklin St
Goliad, TX 779634281
Phone: (361) 645-8235
Type: Location
Parkside Family Clinic, 1109, East Broadway Street, Cuero, DeWitt County, Texas, 77954, United States
CUERO, TX 77954
Phone: (361) 275-2800
Fax: (361) 275-8791
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $462.
Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Novo Nordisk Inc ($93).
Total Amount
$462
General + Research + Ownership
Payments
23
Total payment records
General Amount
$462
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $93 |
| Exact Sciences Corporation | $63 |
| Intuitive Surgical, Inc. | $63 |
| Lilly USA, LLC | $58 |
| ABBVIE INC. | $53 |
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: 2019-08-23
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 |
|---|---|---|---|---|
| I20190823002651 | I | Family Practice | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 52 | 42 | $0 |
| 81002 | Urinalysis, manual test | 49 | 32 | $0 |
Insurance plans in this area (ZIP 77954)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Obstetrics/Gynecology | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| Family Practice, Obstetrics/Gynecology | TX | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
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