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CODY MIRCOVICH
NPI 1962198911
Chiropractor in Prosper, TX

Active since April 13, 2023Accepts Medicare Assignment
1061 N COLEMAN ST STE 10, PROSPER, TX 75078(469) 296-1049 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cody Mircovich NPPES

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

CODY MIRCOVICH (NPI 1962198911) is an individual chiropractor in Prosper, Texas, licensed in Texas (15527) and active in the NPI registry since April 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1962198911
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCODY MIRCOVICH
Location Address1061 N COLEMAN ST STE 10Prosper, TX 75078-2318
Mailing Address1061 N Coleman St Ste 10Prosper, TX 75078-2318
Phone(469) 296-1049
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1962198911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 15527
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1061 N COLEMAN ST STE 10, Prosper, TX 75078
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Accepted Insurance

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

Cody Mircovich 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 ID7416312541
PECOS Enrollment IDI20230425002004

Medicare Billing Reassignments

2

Medicare enrollment records show Cody Mircovich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifeclinic Chiropractic Of Texas, LLC
9.4 mi
Chiropractor
971 SAM RAYBURN TOLLWAY
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
NPI 1417347899 (952) 229-7925
Curis Functional Health
17 mi
Chiropractor
4801 FRANKFORD RD STE 300
Dallas, TX 75287
  • Reassigned Medicare billing, Texas enrollment
  • 60 clinicians in this Medicare group
NPI 1023508116 (214) 390-3258

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

Other Providers at the Same Location NPPES 5

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

CYNTHIA OKEKE
Physician Assistant
1061 N COLEMAN ST STE 10
PROSPER, TX 75078
Collin County (469) 257-3500
DR. CAEL HALFMAN DC
Chiropractor
1061 N COLEMAN ST STE 10
PROSPER, TX 75078
Collin County (469) 296-1049
KIMBERLY SNYDER
Nurse Practitioner
1061 N COLEMAN ST STE 10
PROSPER, TX 75078
Collin County (469) 296-1049
NOBILITY MEDICAL PLLC
Clinic/Center (Primary Care)
1061 N COLEMAN ST STE 10
PROSPER, TX 75078
Collin County (469) 296-1049
KRISTY DAWN MOORE FNP-C
Nurse Practitioner
1061 N COLEMAN ST STE 10
PROSPER, TX 75078
Collin County (469) 296-1049

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 Mircovich's NPI number?

The NPI number for Cody Mircovich is 1962198911. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Cody Mircovich located?

Cody Mircovich practices at 1061 N Coleman St Ste 10, Prosper, TX 75078. The listed phone number is (469) 296-1049.

What is Cody Mircovich's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Cody Mircovich enrolled in Medicare?

Yes. Cody Mircovich 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 Mircovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Mircovich reassigns Medicare benefits to 2 organizations: Lifeclinic Chiropractic Of Texas, LLC (Allen, TX) and Curis Functional Health (Dallas, 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 Mircovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Mircovich accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Cody Mircovich 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.

When was this NPI record last updated?

The NPPES record for Cody Mircovich was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.