CODY ELIJAH WISSENBACH P.A.
NPI 1841468410
Physician Assistant in Boise, ID
NPI Status: Active since February 15, 2008
Contact Information
999 N CURTIS RD STE 415
BOISE, ID
ZIP 83706
Phone: (208) 302-2600
Fax: (208) 302-2625
- Individual
- Male
- Years of Experience 19
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About CODY WISSENBACH
This page provides the complete NPI Profile along with additional information for Cody Wissenbach, a primary care provider established in Boise, Idaho with a medical specialization in Physician Assistant and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1841468410 assigned on February 2008. The practitioner's primary taxonomy code is 363A00000X with license number PA-2289 (ID). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1841468410
- Provider Name
- CODY ELIJAH WISSENBACH P.A.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 999 N CURTIS RD STE 415 BOISE, ID 83706
- Location Phone
- (208) 302-2600
- Location Fax
- (208) 302-2625
- Mailing Address
- PO BOX 190930 BOISE, ID 83719
- Mailing Phone
- (208) 367-5170
- Mailing Fax
- (208) 302-2625
- Medical School Name
- OTHER
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-15-2008
- Last Update Date
- 11-14-2023
- Code Navigator
A primary care provider (PCP) like Cody Wissenbach sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA-2289
- License State
- ID
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA1091 (NV) |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA60720417 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Bronze HDHP 7500 - EPO
- Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Cody Wissenbach is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Cody Wissenbach is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7416026380
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230818003122
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.28 for a new patient copayment and $16.44 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 83706 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.13
- Minimum New Patient Price $52.44
- Maximum New Patient Price $160.17
- Average New Patient Copayment $20.28
- Minimum New Patient Copayment $13.11
- Maximum New Patient Copayment $40.04
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.77
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $130.93
- Average Established Patient Copayment $16.44
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $32.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Cody Wissenbach is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | 1055 NORTH CURTIS ROAD BOISE, ID 83706 | (208) 367-3554 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 4 | 6 | 8 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 8 | 6 | 16 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 8 + 6 + 1 + 6 + 4 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1841468410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548784606 | MATTHEW THOMAS GENTHER DNP, FNP Individual | Nurse Practitioner (Family) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1356723944 | DR. PATRICK LIEBEL M.D. Individual | Surgery (Trauma Surgery) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1104111707 | DR. APRIL ANN GRANT MD Individual | Surgery | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1578769683 | DR. BRIAN COATES D.O. Individual | Surgery | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1184349458 | JOANNA DARAKJY APRN FNP-C Individual | Nurse Practitioner (Family) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1417655713 | NURUDEEN IBRAHIM NP Individual | Nurse Practitioner (Gerontology) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1053653980 | COURTNEY ALYSON GREEN M.D. Individual | Surgery (Surgical Critical Care) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1861175929 | KARLI DEE CHARLTON PA-C Individual | Physician Assistant | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1700830882 | DR. JEREMY HENRY CONKLIN DO Individual | Surgery (Surgical Critical Care) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1245452606 | STEVEN A KHALIL MD Individual | Surgery (Surgical Critical Care) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1205935624 | DR. KAHDI F UDOBI MD Individual | Surgery (Surgical Critical Care) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1295588374 | NICOLE GAYLENE ST GERMAIN Individual | Nurse Practitioner (Acute Care) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1336115401 | JULIE L. WYNNE M.D. Individual | Surgery (Surgical Critical Care) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1164912507 | DANIEL RIVERA DO Individual | Surgery | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1295002285 | DR. ETHAN ALEXANDER TAUB D.O. Individual | Surgery | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1821382839 | DR. SCOTT MICHAEL JOHN M.D. Individual | Surgery (Surgical Critical Care) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1982301644 | DARLA J. BUFFA APRN Individual | Nurse Practitioner (Gerontology) | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1861055253 | DUSTIN DEHART Individual | Surgery | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1013339373 | KAYDON J LLOYD PA-C Individual | Physician Assistant | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
| 1881488385 | EMILY LIN SYED Individual | Physician Assistant | 999 N CURTIS RD STE 415 BOISE, ID 83706 (208) 302-2600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841468410, enumerated in the NPI registry as an "individual" on February 15, 2008
The provider is located at 999 N Curtis Rd Ste 415 Boise, Id 83706 and the phone number is (208) 302-2600
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 19 years of experience.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.13 with an average copayment of $20.28 for new patient appointments. Established patients should expect a typical charge of $65.77 and an average copayment of 16.44. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): SAINT ALPHONSUS REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on February 15, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.