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DR. CODY MATTHEW TILLINGHAST MD
NPI 1669828331
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in The Woodlands, TX

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
9305 PINECROFT DR STE 400, THE WOODLANDS, TX 77380(713) 486-3033 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2025, Jul 19, 2022, Jul 29, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Cody Matthew Tillinghast Md NPPES

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

DR. CODY MATTHEW TILLINGHAST MD (NPI 1669828331) is an individual orthopaedic surgery of the spine provider in The Woodlands, Texas, licensed in Texas (T9259) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1669828331
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. CODY MATTHEW TILLINGHASTCredential: MD
Location Address9305 PINECROFT DR STE 400The Woodlands, TX 77380-3482
Mailing Address6400 Fannin St, Suite 1700Houston, TX 77030-1521 · (713) 486-7500 · Fax (713) 512-7240
Phone(713) 486-3033
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateFebruary 17, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1669828331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in TX · T9259✔ Licensed in GA · 88039
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 88039 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9305 PINECROFT DR STE 400, The Woodlands, TX 77380
Open in Google Maps ↗

Secondary Practice Location 1

Location 16400 Fannin St, Suite 1700Houston, TX 77030-1521 · Phone (713) 486-7500 · Fax (713) 512-7240

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cody Matthew Tillinghast Md 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 ID4981001880
PECOS Enrollment IDI20230227000614
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.

Medicare Billing Reassignment

Medicare enrollment records show Cody Tillinghast reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
32 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services66 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
36 services25 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
27 services19 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
27 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 18

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

JOHN ALEXANDER SEMENOFF PHYSICIAN ASSISTANT
Physician Assistant
9305 PINECROFT DR STE 400
THE WOODLANDS, TX 77380
Montgomery County (713) 498-8800
KELLY W. BLEVINS M.D.
Orthopaedic Surgery
9305 PINECROFT DR STE 400
THE WOODLANDS, TX 77380
Montgomery County (713) 486-8800
CLINT WESTON JOHNSON MD
Orthopaedic Surgery
9305 PINECROFT DR STE 400
THE WOODLANDS, TX 77380
Montgomery County (713) 486-8800
LILY ANN KOSCIELNIAK PA-C
Physician Assistant (Surgical)
9305 PINECROFT DR STE 400
THE WOODLANDS, TX 77380
Montgomery County (713) 486-8800
BRENNAN PATRICK ROPER M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
9305 PINECROFT DR STE 400
THE WOODLANDS, TX 77380
Montgomery County (713) 486-8800
ALBERT BRANT LIPSCOMB M.D.
Orthopaedic Surgery (Sports Medicine)
9305 PINECROFT DR STE 400
THE WOODLANDS, TX 77380
Montgomery County (713) 486-8800
MRS. KENDRA LEE COOK PAC
Physician Assistant (Medical)
9305 PINECROFT DR STE 400
SPRING, TX 77380
Montgomery County (713) 486-8800
CAROLINE AUGUSTE BESSELMAN MPAS, PA-C
Physician Assistant
9305 PINECROFT DR STE 400
SPRING, TX 77380
Montgomery County (713) 486-8800

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 Tillinghast's NPI number?

The NPI number for Cody Tillinghast is 1669828331. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Cody Tillinghast located?

Cody Tillinghast practices at 9305 Pinecroft Dr Ste 400, The Woodlands, TX 77380. The listed phone number is (713) 486-3033.

What is Cody Tillinghast's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Cody Tillinghast enrolled in Medicare?

Yes. Cody Tillinghast 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.

Which organization bills Medicare for Cody Tillinghast's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Tillinghast reassigns Medicare benefits to Ut Physicians (Houston, TX). The 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 Cody Tillinghast's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Tillinghast accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Cody Tillinghast 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.

Is Cody Tillinghast affiliated with any hospitals?

According to CMS data, Cody Tillinghast is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Cody Tillinghast was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.