CODY CLINIC
NPI 1104422237
Internal Medicine in Cody, WY
About Cody Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY CLINIC (NPI 1104422237) is a healthcare organization registered as an internal medicine in Cody, Wyoming and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Judd L Larowe, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cody Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cody Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 53D2210975
Cody Clinic · Cody, WYFrequently 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 Clinic's NPI number?
The NPI number for Cody Clinic is 1104422237. It was assigned to this organization in the NPPES registry on December 4, 2020.
Where is Cody Clinic located?
Cody Clinic is located at 2107 Sheridan Avenue, Cody, WY 82414. The listed phone number is (307) 586-5303.
What is Cody Clinic's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Cody Clinic enrolled in Medicare?
Yes. Cody Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cody Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Cody Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cody Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 53D2210975) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cody Clinic accept?
Health plans from Blue Cross Blue Shield of Wyoming list Cody Clinic 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 Clinic was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cody Clinic · NPI 1104422237
Internal Medicine organization in Cody, Wyoming. Organization record, active in the CMS NPPES registry since December 4, 2020.
## Identity
- **NPI:** 1104422237 (Entity type: Organization)
- **Enumerated:** December 4, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Judd Larowe, PRESIDENT
## Practice location
- **Address:** 2107 SHERIDAN AVENUE, Cody, WY 82414
- **Phone:** (307) 586-5303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104422237) · Data from the CMS NPPES public registry.