CODY E THOMPSON (PA-C) – Surgical Physician Assistant, NPI 1619953114
Surgical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CODY E THOMPSON (PA-C)
6th Avenue South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33705, United States
SUITE 450
SAINT PETERSBURG, FL 337014629
Phone: (727) 898-2663
Fax: (727) 568-6836
Type: Mailing
3440 W Dr Martin Luther King Jr Blvd Ste 200
Tampa, FL 336076223
Phone: (813) 879-2663
Fax: (813) 872-0286
Type: Location
8318 Market St
Lakewood Ranch, FL 342025137
Phone: (727) 898-2663
Fax: (727) 568-6836
Type: Location
625 6TH AVE S STE 450
ST PETERSBURG, FL 337014629
Phone: (727) 898-2663
Fax: (727) 568-6836
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($31).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $31 |
| Solventum Corporation | $15 |
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: 2020-04-25
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 |
|---|---|---|---|---|
| I20200425000081 | I | Physician Assistant | FL | 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 33701)
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Reviews
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