NPIMap

Individual provider Active NPI

Cody Stark Rogers, MD

  • Family Medicine Physician
  • Conway, AR
National Provider Identifier
1063943587
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019003806 Issued in MO
Practice address
2302 College Ave
Conway, AR 72034-6297
Phone
(501) 329-3831
NPI assigned
Mar 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-18327 AR
Family Medicine Physician 207Q00000X 2019003806 MO Primary

Addresses

Primary practice location

2302 College Ave
Conway, AR 72034-6297

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other practice location 1

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190830000671 MO Practitioner - Family Practice 8426315300 Reassigns benefits to 3 organizations
I20240926004000 AR Practitioner - Family Practice 8426315300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians
Conway Regional Medical Center IncGroup PAC ID 3173428414, 129 clinicians

Practice addresses (Care Compare)

13852 US Hwy 160
Forsyth, MO 65653-5156
Phone (417) 546-3500

2302 College Ave
Suite 100
Conway, AR 72034-6297
Phone (501) 513-5385

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
  • CHI St Vincent Morrilton Hospital, Morrilton, AR, CCN 041324

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as apm
Quality
77.78
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc Family Medicine Current Accepting new patients
Conway Regional Medical Center, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Aug 31, 2019 Accepting new patients
Lester E Cox Medical Centers CurrentSince Oct 1, 2019 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Aug 31, 2019 Accepting new patients
Skaggs Community Hospital Association Family Medicine Current Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 7, 2021 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Sep 7, 2021 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Sep 15, 2024 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Ozarks Medical Center Family Medicine PastSince Dec 1, 2020 Accepting new patients
Norton County Hospital PastSince Jul 24, 2020 Accepting new patients

Locations

2302 College Ave
Ste 100
Conway, AR 72034
Phone (501) 513-5385

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

1423 N Jefferson Ave
#A100
Springfield, MO 65802

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1063943587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346297",
            "telephone_number": "501-329-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7128",
            "fax_number": "417-348-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CODY",
        "middle_name": "STARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-18327",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019003806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.