MR. CODY RANDY CHARLTON CRNA
NPI 1720182710
Nurse Anesthetist, Certified Registered in Farmington, NM

Active since September 11, 2006Accepts Medicare Assignment
82.45/100
CMS Quality Rating
801 W MAPLE ST, FARMINGTON, NM 87401(505) 609-2258(505) 609-2259 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2025, May 14, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Cody Randy Charlton Crna NPPES

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

MR. CODY RANDY CHARLTON CRNA (NPI 1720182710) is an individual nurse anesthetist, certified registered in Farmington, New Mexico, licensed in Texas (AP127707) and active in the NPI registry since September 2006. He is affiliated with San Juan Regional Medical Center Inc, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720182710
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. CODY RANDY CHARLTONCredential: CRNA
Location Address801 W MAPLE STFarmington, NM 87401-5630
Mailing AddressPo Box 3570Salt Lake City, UT 84110-3570 · (801) 727-2056 · Fax (770) 701-6675
Fax(505) 609-2259
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1720182710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in TX · AP127707 Licensed in NM · CRNA-01505 Licensed in UT · 5130028-4406
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
801 W MAPLE ST, Farmington, NM 87401

Secondary Practice Locations 2

Location 11034 N 500 WProvo, UT 84604-3337 · Phone (801) 357-7850
Location 228703 Alessandria CirBonita Springs, FL 34135-8277 · Phone (801) 471-3893

Accepted 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

Mr. Cody Randy Charlton Crna 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 ID8224349279
PECOS Enrollment IDI20150618000185, I20171030002168

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

82.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.08
Promoting Interoperability100
Improvement Activities40
Cost54.76

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.

Physical Therapy Assistant
801 W MAPLE ST
FARMINGTON, NM 87401
Registered Nurse (Enterostomal Therapy)
801 W MAPLE ST
FARMINGTON, NM 87401
Nurse Anesthetist, Certified Registered
801 W MAPLE ST
FARMINGTON, NM 87401
Student in an Organized Health Care Education/Training Program
801 W MAPLE ST
FARMINGTON, NM 87401
Specialist/Technologist, Other (Surgical Assistant)
801 W MAPLE ST
FARMINGTON, NM 87401
Internal Medicine
801 W MAPLE ST
FARMINGTON, NM 87401
Physician Assistant
801 W MAPLE ST
FARMINGTON, NM 87401
Physical Therapist
801 W MAPLE ST
FARMINGTON, NM 87401

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 Charlton's NPI number?

The NPI number for Cody Charlton is 1720182710. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Cody Charlton located?

Cody Charlton practices at 801 W Maple St, Farmington, NM 87401. The listed phone number is (505) 609-2258.

What is Cody Charlton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Cody Charlton enrolled in Medicare?

Yes. Cody Charlton 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.

What insurance does Cody Charlton accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Cody Charlton 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 Charlton affiliated with any hospitals?

According to CMS data, Cody Charlton is affiliated with San Juan Regional Medical Center Inc and Citizens Medical Center.

When was this NPI record last updated?

The NPPES record for Cody Charlton was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.