NPIMap

Individual provider Active NPI

Cody Michael-Ty Deck, DO

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1720669591
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0072886 Issued in CO
Practice address
1801 16TH St
Greeley, CO 80631-5199
Phone
(970) 810-6087
NPI assigned
Apr 14, 2021
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0072886 CO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631-5199

Mailing address

103 Bluebell CT
Wiggins, CO 80654-7923
Phone (217) 304-1492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927001669 CO Practitioner - Family PracticePractitioner - Hospitalist 7719418078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Lake Erie College of Osteopathic Medicine, Erie, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Morgan County HospitalGroup PAC ID 3274443577, 16 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

2400 Edison St
Suite 101 Banner Family Medicine Brush
Brush, CO 80723-1640
Phone (970) 842-6262

909 E Railroad Ave
Suite 101 Banner Health Clinic Fort Morgan
Fort Morgan, CO 80701-3301
Phone (970) 542-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
East Morgan County Hospital CurrentSince Dec 3, 2025 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Oct 1, 2024 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Oct 1, 2024 Accepting new patients
East Morgan County Hospital CurrentSince Dec 3, 2025 Accepting new patients
North Colorado Medical Center Past Accepting new patients
North Colorado Medical Center Past Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

2400 Edison St
Ste 101
Brush, CO 80723
Phone (970) 842-6262

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

909 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 542-4700

909 E Railroad Ave
Ste 101
Fort Morgan, CO 80701
Phone (970) 542-4700

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

Interoperability endpoints

  • Direct secure messaging: cdeckdo388603@carlehiedirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1720669591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BLUEBELL CT",
            "city": "WIGGINS",
            "state": "CO",
            "postal_code": "806547923",
            "telephone_number": "217-304-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315199",
            "telephone_number": "970-810-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "CODY",
        "middle_name": "MICHAEL-TY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0072886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.