MR. CODY W LEWIS PA-C
NPI 1972859403
Physician Assistant - Medical in Farmington, NM

Q: What is Cody Lewis's NPI number?

The NPI number for Cody Lewis is 1972859403. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Q: What is Cody Lewis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Cody Lewis was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 02, 2012PECOS Enrolled

89.17/100

CMS Quality Rating

2300 E 30TH ST BLDG D STE 101, FARMINGTON, NM 87401(505) 327-1400(505) 564-3202 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2021, Nov 14, 2019, Jan 18, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Mr. Cody W Lewis Pa-c NPPES

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

MR. CODY W LEWIS PA-C (NPI 1972859403) is an individual medical provider in Farmington, New Mexico, licensed in New Mexico (PA2012-0021) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972859403

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. CODY W LEWISCredential: PA-C

Location Address2300 E 30TH ST BLDG D STE 101Farmington, NM 87401

Mailing Address2300 E 30th St Bldg D Ste 101Farmington, NM 87401 · (505) 327-1400 · Fax (505) 564-3202

Phone(505) 327-1400

Fax(505) 564-3202

Sole ProprietorNo

Enumeration DateAugust 2, 2012

Last NPPES UpdateJanuary 18, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2021

✔ NPI 1972859403 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

Licenses✔ Licensed in NM · PA2012-0021✔ Licensed in WA · PA60796883

2300 E 30TH ST BLDG D STE 101, Farmington, NM 87401

Open in Google Maps ↗

Secondary Practice Locations 2

Location 15600 Eubank Blvd NE Ste 110Albuquerque, NM 87111 · Phone (505) 880-1920 · Fax (505) 200-2852

Location 21001 W BroadwayFarmington, NM 87401 · Phone (505) 327-4796

Other Identifiers 1

Medicaid58372539NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Cody W Lewis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

89.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.75

Promoting Interoperability

100

Improvement Activities

Cost

82.36

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.

LORETTA LUCERO RNFAC

Registered Nurse (Orthopedic)