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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: October 25, 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
Phone(505) 609-2258
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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

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

Medicare Billing Reassignments

5

Medicare enrollment records show Cody Charlton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Juan Regional Medical Center Inc
Same address
Emergency Medicine
801 W MAPLE ST
Farmington, NM 87401
  • Reassigned Medicare billing, New Mexico enrollment
  • 368 clinicians in this Medicare group
NPI 1518932151 (505) 609-2258
Dhhs, Phs, Naihs, Shiprock Hospital
31 mi
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1760427587 (505) 368-6401
Main Street Anesthesia Of New Mexico, LLC
143 mi
Anesthesiology
601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 383 clinicians in this Medicare group
NPI 1275010985 (505) 727-8000
Mountain View Anesthesia Lc
311 mi
Anesthesiology
750 W 800 N, TIMPANOGOS REGIONAL HOSPITAL
Orem, UT 84057
  • Reassigned Medicare billing, Utah enrollment
  • 73 clinicians in this Medicare group
NPI 1043249840 (801) 714-6000
Citizen's Medical Center County Of Victoria
851 mi
Multi-Specialty
2701 HOSPITAL DR
Victoria, TX 77901
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Citizens Medical Center County Of Victoria
  • 171 clinicians in this Medicare group
NPI 1205242088 (361) 573-9181

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

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.

MRS. REBECCA JO MUNOZ PTA
Physical Therapy Assistant
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 325-2511
MRS. TERRI DANA ARRIGO RN
Registered Nurse (Enterostomal Therapy)
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 325-2511
CHRISTOPHER GARY REITMEIER CRNA
Nurse Anesthetist, Certified Registered
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-2000
SHAFQAT ULLAH MBBS
Student in an Organized Health Care Education/Training Program
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-2000
SAN JUAN REGIONAL MEDICAL CENTER INC
Specialist/Technologist, Other (Surgical Assistant)
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-2258
DR. ERIN KEALEY PHILPOTT D.O.
Internal Medicine
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-6463
JAMIE LYNN LANDRY
Physician Assistant
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 609-2000
ANNE TOLMAN PRICE PT
Physical Therapist
801 W MAPLE ST
FARMINGTON, NM 87401
San Juan County (505) 325-2511

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.

Which organizations bill Medicare for Cody Charlton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Charlton reassigns Medicare benefits to 5 organizations: San Juan Regional Medical Center Inc (Farmington, NM), Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM), Main Street Anesthesia Of New Mexico, LLC (Albuquerque, NM), Mountain View Anesthesia Lc (Orem, UT) and Citizen's Medical Center County Of Victoria (Victoria, TX). Each 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 Charlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 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.