CODY MYERS PA-C
NPI 1891310801
Physician Assistant - Medical in Portland, OR

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment
1122 NW EVERETT ST, PORTLAND, OR 97209(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2026, Oct 28, 2020, Jun 15, 2020 (3 updates tracked since 2020).

About Cody Myers Pa-c NPPES

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

CODY MYERS PA-C (NPI 1891310801) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA201290) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891310801
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCODY MYERSCredential: PA-C
Location Address1122 NW EVERETT STPortland, OR 97209-2915
Mailing Address5329 Ne Martin Luther King Jr BlvdPortland, OR 97211-3237 · (503) 988-5558
Fax(415) 252-7176
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 15, 2020
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1891310801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA201290
1122 NW EVERETT ST, Portland, OR 97209

Secondary Practice Location 1

Location 15329 NE Martin Luther King Jr BlvdPortland, OR 97211-3237 · Phone (503) 988-5558

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

Cody Myers 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 ID3072923036
PECOS Enrollment IDI20201102001706
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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
1122 NW EVERETT ST
PORTLAND, OR 97209
Family Medicine
1122 NW EVERETT ST
PORTLAND, OR 97209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891310801, enumerated as an "individual" on June 15, 2020.

The provider is located at 1122 NW EVERETT ST PORTLAND, OR 97209 and the phone number is (888) 663-6331.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.