CODY JACOB THORSON PA-C
NPI 1154951895
Physician Assistant in Omaha, NE

Q: What is Cody Thorson's NPI number?

The NPI number for Cody Thorson is 1154951895. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Q: What is Cody Thorson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Thorson was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 22, 2020PECOS EnrolledAccepts Medicare Assignment

4920 S 30TH ST STE 103, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2023, Jan 22, 2020 (2 updates tracked since 2020).

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About Cody Jacob Thorson Pa-c NPPES

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

CODY JACOB THORSON PA-C (NPI 1154951895) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (2428) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154951895

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCODY JACOB THORSONCredential: PA-C

Location Address4920 S 30TH ST STE 103Omaha, NE 68107-1656

Mailing Address4920 S 30th St Ste 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 401-6005

Phone(402) 734-4110

Fax(402) 734-3990

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 22, 2020

Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2023

✔ NPI 1154951895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NE · 2428

Definition

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.

4920 S 30TH ST STE 103, Omaha, NE 68107

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Other Identifiers 1

Other2428NE · Nebraska Department Of Health And Human Services Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cody Jacob Thorson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264861954

PECOS Enrollment IDI20200331003695

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280060

Location7500 Mercy RdOmaha, NE 68124 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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 20

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

ANGELA SALAZAR APRN

Nurse Practitioner (Family)