CODY WAYNE LAWSON ATC
NPI 1477168565
Physician Assistant in Minneapolis, MN

Active since September 15, 2020PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 330-1000 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Sep 15, 2020 (2 updates tracked since 2020).

About Cody Wayne Lawson Atc NPPES

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

CODY WAYNE LAWSON ATC (NPI 1477168565) is an individual physician assistant in Minneapolis, Minnesota and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477168565
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCODY WAYNE LAWSONCredential: ATC
Location Address2211 RIVERSIDE AVEMinneapolis, MN 55454-1350
Mailing Address115 2nd Ave S Apt 701Minneapolis, MN 55401-2014 · (276) 618-1593
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 15, 2020
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1477168565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2211 RIVERSIDE AVE, Minneapolis, MN 55454

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 Wayne Lawson Atc 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 ID1456721141
PECOS Enrollment IDI20221221000040, I20251218004088
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.71
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE, CAMPUS BOX 149
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE, CAMPUS BOX 149
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

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 Lawson's NPI number?

The NPI number for Cody Lawson is 1477168565. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Cody Lawson located?

Cody Lawson practices at 2211 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 330-1000.

What is Cody Lawson's specialty?

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

Is Cody Lawson enrolled in Medicare?

Yes. Cody Lawson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cody Lawson was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.