Individual provider Active NPI

Cody A Williams, DO

  • Ophthalmology Physician
  • Ashland, KY
National Provider Identifier
1376003145
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
05527 Issued in KY
Practice address
2841 Lexington Ave
Ashland, KY 41101-3009
Phone
(606) 324-2451
Fax
(606) 324-7123
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34.016745 OH
Ophthalmology Physician 207W00000X 05527 KY Primary

Addresses

Primary practice location

2841 Lexington Ave
Ashland, KY 41101-3009

Mailing address

2841 Lexington Ave
Ashland, KY 41101-3009
Phone (606) 324-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230816000378 KY Practitioner - Ophthalmology 0143646281 Reassigns benefits to 1 organization
I20231102000651 OH Practitioner - Ophthalmology 0143646281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Ophthalmology Associates PSCGroup PAC ID 9931157179, 4 clinicians

Practice addresses (Care Compare)

2841 Lexington Ave
Ashland, KY 41101-3009
Phone (606) 324-2451

405 S 3Rd St
Ironton, OH 45638-1730
Phone (740) 442-7959

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.1 of 100Reported as group
Quality
92.44
Promoting interoperability
100
Improvement activities
40
Cost
47.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery481
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05527KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Ophthalmology Associates PSC Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Idox3 LLC Past Accepting new patients

Locations

2841 Lexington Ave
Ashland, KY 41101
Phone (606) 324-2451

405 S 3rd St
Ironton, OH 45638
Phone (304) 417-1255

1534 11th St
Portsmouth, OH 45662
Phone (740) 355-1161

Interoperability endpoints

  • Direct secure messaging: cwilliams23565@ukhcdirect.org
  • Direct secure messaging: cowilliams@tri-stateeyes.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1376003145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013009",
            "telephone_number": "606-324-2451",
            "fax_number": "606-324-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013009",
            "telephone_number": "606-324-2451",
            "fax_number": "606-324-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CODY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34.016745",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "05527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.