Individual provider Active NPI

Cory Gwynndolynn Yoder, D.O.

  • Family Medicine Physician
  • Morehead, KY
National Provider Identifier
1770931628
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04376 Issued in KY
Practice address
316 W 2ND St
Morehead, KY 40351
Phone
(606) 784-3771
Fax
(606) 783-6847
NPI assigned
Jun 1, 2016
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04376 KY Primary

Addresses

Primary practice location

316 W 2ND St
Morehead, KY 40351

Mailing address

316 W 2ND St
Morehead, KY 40351-1550
Phone (606) 784-3771

Other practice location 1

390 Ky Hwy 7S
Sandy Hook, KY 41171-0000
Phone (606) 738-5155

Other practice location 2

390 Ky Hwy 7S
Sandy Hook, KY 41171-0000
Phone (606) 738-5155

Other identifiers 1

IdentifierTypeStateIssuer
04376OtherKYKY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190226002459 KY Practitioner - Family Practice 0648519264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04376KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Dec 30, 2021 Accepting new patients
Kings Daughters Medical Specialties Inc Single Specialty CurrentSince Dec 30, 2021 Accepting new patients
St. Claire Medical Center Inc. Past Accepting new patients
St. Claire Medical Center, Inc Past Accepting new patients
Ashland Hospital Corporation Single Specialty Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

255 Old Viking Dr
Morehead, KY 40351
Phone (606) 784-2774

Interoperability endpoints

  • Direct secure messaging: cyoder79630@direct.kdhealth.us
  • Direct secure messaging: cyoder84255@direct.kdhealth.us

Organizations & group practices 5

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

Hospital & facility affiliations 3

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1770931628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511550",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "40351",
            "telephone_number": "606-784-3771",
            "fax_number": "606-783-6847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 KY HWY 7S",
            "address_purpose": "LOCATION",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411710000",
            "country_code": "US",
            "telephone_number": "606-738-5155",
            "fax_number": "606-738-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 KY HWY 7S",
            "address_purpose": "LOCATION",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411710000",
            "country_code": "US",
            "telephone_number": "606-738-5155",
            "fax_number": "606-738-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "CORY",
        "middle_name": "GWYNNDOLYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAL LICENSE",
            "identifier": "04376",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.