Cody Elijah Wissenbach, PA

  • Ketchum, ID
  • Physician assistant
NPI1841468410PAC ID7416026380
Medicare patients, 2024
19
Part D claims, 2024
83
Hospital affiliations
2
Medical groups
2
State licenses
3
Practice address
100 Hospital Drive, Ketchum, ID 83340
Practice phone
Call (208) 727-8800
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

St. Luke's Wood River Medical Center

Hospital · Ketchum, Idaho

See all 5 affiliations

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Cody Elijah Wissenbach is a physician assistant in Ketchum, Idaho

Cody Wissenbach practices at St. Luke's Wood River Medical Center in Ketchum, Idaho, part of St. Luke's Health System.

Cody Wissenbach's NPI, 1841468410, was assigned on February 15, 2008. Cody Wissenbach holds Idaho license PA-2289.

NPI and contact details
Medicare PAC ID
7416026380
NPI enumeration date
February 15, 2008
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(208) 727-8800
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Cody Elijah Wissenbach practices at St. Luke's Wood River Medical Center in Ketchum, Idaho

Cody Wissenbach's primary practice is St. Luke's Wood River Medical Center, at 100 Hospital Drive, Ketchum, ID 83340 in Blaine County. The practice phone is (208) 727-8800.

Source: Dmand AI Affiliation Data

Cody Elijah Wissenbach is affiliated with 3 sites of care and 2 medical groups

Cody Wissenbach's primary practice is St. Luke's Wood River Medical Center in Ketchum, Idaho, part of St. Luke's Health System. Cody Wissenbach is also affiliated with Saint Alphonsus Regional Medical Center. The medical group on file is Saint Alphonsus Regional Medical Center. Dmand AI also links Cody Wissenbach to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 5 affiliations for Cody Wissenbach

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Cody Elijah Wissenbach's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Cody Wissenbach practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
St. Luke's Wood River Medical CenterAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Cody Elijah Wissenbach is one of 1,164 physician assistants in Idaho

Physician assistant is Cody Wissenbach's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Dmand AI has Cody Wissenbach's licenses on file in 3 states: Idaho, Nevada and Washington.

Specialties and state licenses

  • Physician assistant, IdahoPrimaryLicense PA-2289 · taxonomy 363A00000X
  • Nevada licenseLicense PA1091
  • Washington licenseLicense PA60720417

Physician assistants near Cody Wissenbach

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Cody Elijah Wissenbach treated 19 Medicare patients in 2024, average age 77

CMS counts 19 Medicare patients who saw Cody Wissenbach in 2024. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 1.52, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Cody Wissenbach's median patient age at 72, with 45% women.

Medicare patients, 202419
Average age77
Average risk score1.52

Chronic conditions among Cody Wissenbach's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis58%

Share of Medicare patients with each condition. A patient can have several.

Cody Wissenbach's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women45%
  • Men55%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Cody Elijah Wissenbach wrote 83 Medicare Part D claims in 2024

In 2024, Cody Wissenbach wrote 83 Medicare Part D claims for 43 patients. 100% of them were for generic drugs.

Part D claims, 202483
Part D patients43

Drug classes CMS tracks in Cody Wissenbach's Part D claims, 2024

  • Opioids33%27 of 83 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Cody Elijah Wissenbach takes part in Medicare

Cody Wissenbach accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Sources for Cody Elijah Wissenbach's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Cody Elijah Wissenbach

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Cody Elijah Wissenbach's NPI number?

Cody Elijah Wissenbach's NPI number is 1841468410. It was assigned on February 15, 2008, and it is active in the NPI Registry.

What does Cody Elijah Wissenbach specialize in?

Cody Elijah Wissenbach is a physician assistant in Ketchum, Idaho. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Cody Elijah Wissenbach practice?

Cody Wissenbach practices at 100 Hospital Drive, Ketchum, ID 83340. Cody Wissenbach's primary practice is St. Luke's Wood River Medical Center in Ketchum, Idaho, part of St. Luke's Health System. Dmand AI also links Cody Wissenbach to 1 group practice or clinic and 1 medical group.

What is Cody Elijah Wissenbach's office phone number?

The practice phone on file for Cody Wissenbach is (208) 727-8800.

What is Cody Elijah Wissenbach's medical license number?

Cody Wissenbach holds Idaho license PA-2289, one of the licenses on file in 3 states.

Which states has Cody Elijah Wissenbach been licensed in?

Dmand AI has state licenses on file for Cody Wissenbach in Idaho, Nevada and Washington.

Which hospitals is Cody Elijah Wissenbach affiliated with?

Cody Wissenbach practices at St. Luke's Wood River Medical Center in Ketchum, Idaho. Cody Wissenbach is also affiliated with Saint Alphonsus Regional Medical Center.

What medical group is Cody Elijah Wissenbach part of?

Cody Wissenbach is linked to Saint Alphonsus Regional Medical Center. Dmand AI links Cody Wissenbach to 1 more medical group.

Does Cody Elijah Wissenbach accept Medicare?

Yes. CMS lists Cody Wissenbach as accepting Medicare assignment.

How many Medicare patients does Cody Elijah Wissenbach see?

CMS counts 19 Medicare patients who saw Cody Wissenbach in 2024, with an average age of 77.

How long has Cody Elijah Wissenbach been practicing?

Cody Wissenbach graduated from medical school in 2007, 19 years ago.

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