Individual provider Active NPI

Cody J Misener, PA

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1447548813
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
121 Everett Road
Albany, NY 12205
Phone
(518) 453-9088
Fax
(518) 689-3895
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 014847 NY
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

121 Everett Road
Albany, NY 12205

Mailing address

121 Everett Road
Albany, NY 12205
Phone (518) 453-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000191 NY Practitioner - Physician Assistant 2769653336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedicsny, LLPGroup PAC ID 6901898170, 115 clinicians

Practice addresses (Care Compare)

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

1768 Route 9
Halfmoon, NY 12065-2402
Phone (518) 489-2663

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Promoting interoperability
75
Improvement activities
40
Cost
88.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedicsny, LLP CurrentSince Aug 8, 2011 Accepting new patients
Orthopedicsny, LLP CurrentSince Aug 8, 2011 Accepting new patients

Locations

3 Atrium Dr
Ste 150
Albany, NY 12205
Phone (518) 453-2361

123 Everett Rd
Ste 200
Albany, NY 12205

123 Everett Rd
Albany, NY 12205
Phone (518) 701-2000

16 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 557-1800

121 Everett Rd
Colonie, NY 12205

1768 Route 9
Halfmoon, NY 12065

Interoperability endpoints

  • Direct secure messaging: cmisener@orthony.emadirect.md

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 2

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": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447548813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT ROAD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-453-9088",
            "fax_number": "518-689-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EVERETT ROAD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-453-9088",
            "fax_number": "518-689-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISENER",
        "first_name": "CODY",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014847",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.