DR. CODY STARK ROGERS (MD) – Family Medicine Physician, NPI 1063943587

DR. CODY STARK ROGERS (MD) is a healthcare provider. based in Branson, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-18327 (AR). The NPI Number for DR. CODY STARK ROGERS (MD) is 1063943587

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CODY STARK ROGERS (MD)
NPI
1063943587
Phone
(417) 335-7128
Address
525 Branson Landing Blvd
Enumeration Date
26 March 2017
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5015135385
Graduation Year
2017 (9 years ago)
PAC ID
8426315300
Group Practice PAC ID
3173428414
Professional Enrollment ID
I20240926004000
Address ID
AR720346297CO2302XAVEX307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

2,337 FAMILY PRACTICE in MO

Provider Addresses for DR. CODY STARK ROGERS (MD)

  • 525 Branson Landing Blvd

    Branson, MO 656162052

    Phone: (417) 335-7128

    Fax: (417) 348-8007

    Type: Location

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 2302 COLLEGE AVE

    CONWAY, AR 720346297

    Phone: (501) 329-3831

    Type: Location

  • North Jefferson Avenue, Springfield, Greene County, Missouri, 65801, United States

    SPRINGFIELD, MO 658021988

    Phone: (417) 269-8817

    Fax: (417) 269-8744

    Type: Location

  • PO BOX 802843

    KANSAS CITY, MO 641802843

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

  • 525 BRANSON LANDING BLVD

    BRANSON, MO 656162052

    Phone: (417) 335-7128

    Fax: (417) 348-8007

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190830000671IFamily PracticeMOTBD
I20240926004000IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes147136$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes137131$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 65616)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173428414View full group profile
NameSpecialtyState
General SurgeryWV
Internal MedicineAR
Family PracticeAR
Nurse PractitionerAR
General SurgeryAR
-AR
Orthopedic SurgeryAR
Interventional CardiologyAR
Hand Surgery, Orthopedic SurgeryAR
Family PracticeAR

Reviews

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Frequently asked questions

Is DR. CODY STARK ROGERS (MD) listed with a National Provider Identifier?
Yes — DR. CODY STARK ROGERS (MD) has NPI 1063943587 on file in the registry.
Is there an active status for DR. CODY STARK ROGERS (MD)?
For scheduling context, DR. CODY STARK ROGERS (MD) is shown as active in the registry.
What kind of doctor is DR. CODY STARK ROGERS (MD)?
DR. CODY STARK ROGERS (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CODY STARK ROGERS (MD)?
Travel planning: use Branson, Missouri as the reference point for DR. CODY STARK ROGERS (MD), then confirm.
When was this NPI issued?
Enumeration for DR. CODY STARK ROGERS (MD) is noted as March 26, 2017 where the registry provides it.

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