DR. CODY HAYES MUMMA DDS
NPI 1003313594
Dentist - Oral and Maxillofacial Surgery in Broken Arrow, OK

Active since April 10, 2018Opted out of Medicare · through Mar 28, 2028
4716 W URBANA ST, BROKEN ARROW, OK 74012(918) 449-5800(918) 455-8958 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2022, Apr 10, 2018 (2 updates tracked since 2018).

About Dr. Cody Hayes Mumma Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CODY HAYES MUMMA DDS (NPI 1003313594) is an individual oral and maxillofacial surgery provider in Broken Arrow, Oklahoma, licensed in Oklahoma (7059) and active in the NPI registry since April 2018. He has opted out of Medicare through March 28, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003313594
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CODY HAYES MUMMACredential: DDS
Location Address4716 W URBANA STBroken Arrow, OK 74012-6162
Mailing Address4716 W Urbana St Ste 100Broken Arrow, OK 74012-6162 · (918) 449-5800 · Fax (918) 455-8958
Fax(918) 455-8958
Sole ProprietorNo
Enumeration DateApril 10, 2018
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1003313594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in OK · 7059 Licensed in OK · 229
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4716 W URBANA ST, Broken Arrow, OK 74012

Secondary Practice Locations 2

Location 112802 E 101st Pl NOwasso, OK 74055-4662 · Phone (918) 274-0944 · Fax (918) 274-1366
Location 21331 S York StMuskogee, OK 74403-7672 · Phone (918) 449-5800 · Fax (918) 455-8958

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Cody Hayes Mumma Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2022 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2022
Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
4716 W URBANA ST, SUITE B
BROKEN ARROW, OK 74012
Allergy & Immunology
4716 W URBANA ST, SUITE 211
BROKEN ARROW, OK 74012
Allergy & Immunology
4716 W URBANA ST, SUITE 211
BROKEN ARROW, OK 74012
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST
BROKEN ARROW, OK 74012
Nurse Practitioner (Family)
4716 W URBANA ST
BROKEN ARROW, OK 74012
Anesthesiologist Assistant
4716 W URBANA ST
BROKEN ARROW, OK 74012
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST
BROKEN ARROW, OK 74012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Mumma's NPI number?

The NPI number for Cody Mumma is 1003313594. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Cody Mumma located?

Cody Mumma practices at 4716 W Urbana St, Broken Arrow, OK 74012. The listed phone number is (918) 449-5800.

What is Cody Mumma's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Cody Mumma enrolled in Medicare?

No. Cody Mumma has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Cody Mumma accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Cody Mumma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Mumma was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.