Individual provider Active NPI

Cody J. Hartshorn, MD

  • Orthopaedic Surgery Physician
  • Granbury, TX
National Provider Identifier
1003962622
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N6346 Issued in TX
Practice address
1310B Paluxy Road
Suite 3000
Granbury, TX 76048-5655
Phone
(817) 578-3910
Fax
(817) 578-3909
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DR-43940 CO
Orthopaedic Surgery Physician 207X00000X N6346 TX Primary

Addresses

Primary practice location

1310B Paluxy Road
Suite 3000
Granbury, TX 76048-5655

Mailing address

1310 Paluxy Rd Ste 3000
Granbury, TX 76048-5655
Phone (817) 578-3910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cody.hartshorn.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000286 TX Practitioner - Orthopedic Surgery 8729270368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Colorado School of Medicine, Denver, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
Granbury, TX 76048-5655

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Granbury, TX, CCN 679021
  • Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
  • The Home Health Team Home health agency, Richardson, TX, CCN 747573
  • Reliant at Home Home health agency, Fort Worth, TX, CCN 458178
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement28
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)18
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR-43940COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group CurrentSince Aug 1, 2010 Accepting new patients
Hood Medical Group Orthopaedic Surgery CurrentSince Aug 1, 2010 Accepting new patients

Locations

1308 Paluxy Rd
Ste 300
Granbury, TX 76048
Phone (817) 579-3978

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1310 Paluxy Rd
Ste 3000
Granbury, TX 76048
Phone (817) 578-3910

Interoperability endpoints

  • Direct secure messaging: cody.hartshorn.1@1293.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1003962622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PALUXY RD STE 3000",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-578-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310B PALUXY ROAD",
            "address_2": "SUITE 3000",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-578-3910",
            "fax_number": "817-578-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSHORN",
        "first_name": "CODY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "DR-43940",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N6346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cody.hartshorn.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1310B Paluxy Road",
            "address_2": "Suite 3000",
            "city": "GRANBURY",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.