Individual provider Active NPI

Cody Lee Thornburgh, MD

  • Diagnostic Radiology Physician
  • Columbia, MO
National Provider Identifier
1689137762
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA12732000 Issued in NJ
Practice address
One Hospital Dr
Columbia, MO 65212-0001
Phone
(573) 884-7770
Fax
(573) 882-9876
NPI assigned
Apr 7, 2019
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2021020973 MO
Diagnostic Radiology Physician 2085R0202X MD489641 PA
Diagnostic Radiology Physician 2085R0202X 25MA12732000 NJ Primary

Addresses

Primary practice location

One Hospital Dr
Columbia, MO 65212-0001

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016
Phone (314) 362-7200

Other practice location 2

3400 Spruce Street
Philadelphia, PA 19104-4206
Phone (215) 662-3000

Other identifiers 1

IdentifierTypeStateIssuer
200087654MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, PA, GA, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240520001825 MO Practitioner - Diagnostic Radiology 7416281423 Reassigns benefits to 8 organizations
I20250602001500 PA Practitioner - Diagnostic Radiology 7416281423 Reassigns benefits to 3 organizations
I20250926001943 GA Practitioner - Diagnostic Radiology 7416281423 Reassigns benefits to 1 organization
I20251001000988 NJ Practitioner - Diagnostic Radiology 7416281423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
Lancaster Radiology Associates LTDGroup PAC ID 0648267526, 53 clinicians
Cambria Somerset Radiology and Nuclear Medicine Group IncGroup PAC ID 7113824277, 38 clinicians
Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

Columbia, MO 65203
Phone (912) 466-7100

1 Clara Maass Dr
Belleville, NJ 07109-3550
Phone (973) 450-2000

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

2301 S Broad St
Philadelphia, PA 19148-3542

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 615-5858

4480 W Bainbridge Dr
Columbia, MO 65203-0536
Phone (717) 412-1289

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4900

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3280

821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Aug 1, 2025 Accepting new patients
Miracl, LLC CurrentSince Jul 1, 2024 Accepting new patients
The Curators of the University of Missouri CurrentSince Feb 10, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Peace Health Partners, PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Curators of the University of Missouri CurrentSince Feb 10, 2025 Accepting new patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Cooperative Healthcare Services Inc Diagnostic Radiology CurrentSince Oct 14, 2025 Accepting new patients
Lancaster Radiology Associates, LTD. Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology CurrentSince May 30, 2025 Accepting new patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Aug 11, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jun 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Grandview Radiology Associates Diagnostic Radiology CurrentSince Jun 17, 2025 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations (25 of 38)

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1 Hospital Dr
Columbia, MO 65201
Phone (573) 882-2568

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1 Hospital Dr
#6910
Columbia, MO 65212
Phone (573) 882-1026

404 N Keene St
Columbia, MO 65201
Phone (573) 875-9000

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

424 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 544-3400

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

895 E Main St
Ephrata, PA 17522
Phone (717) 435-3835

1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

538 N Queen St
Lancaster, PA 17603
Phone (267) 886-6609

540 N Duke St
Lancaster, PA 17602
Phone (717) 544-4950

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

675 Good Dr
Lancaster, PA 17601
Phone (717) 406-3000

Organizations & group practices 17

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

View all 17

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": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1689137762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-884-7770",
            "fax_number": "573-882-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Kingshighway Blvd",
            "address_2": "Dept Radiology",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101016",
            "country_code": "US",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Spruce Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044206",
            "country_code": "US",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNBURGH",
        "first_name": "CODY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2021020973",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD489641",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12732000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200087654",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "510 S Kingshighway Blvd",
            "address_2": "Dept Radiology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Drive",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.