Cody Wayne Cissom, D.O.
NPI 1104511153ActiveIndividual· Internal Medicine· Tupelo, MS
Internal Medicine (D.O.) in Tupelo, Mississippi, licensed in MS, with an NPI issued in April 2023. Part D covered 454 prescriptions written in 2024, 91% of them generic. La Jolla Pharmaceutical Company was the largest of 2 companies reporting payments in 2025, $43.85 in all, mostly food and beverage.
Overview
| NPI | 1104511153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 6, 2023 |
| Last updated in NPPES | Apr 6, 2023 |
| Certified by provider | Mar 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | PENDING | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Internal Medicine (MS) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 454 · 1,045 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $44,220 |
| Generic share | 91% of claims |
Industry payments (Open Payments)
- 2025$43.85 · 2 payments from 2 companies
- 2024$72.63 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| La Jolla Pharmaceutical Company | $28.06 | 1 |
| Tandem Diabetes Care, Inc. | $15.79 | 1 |
What the 2025 payments were for
- Food and Beverage$43.85 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 67 internal medicine physicians in Tupelo · All internal medicine physicians in Mississippi