CODY J. HARTSHORN (MD) – Orthopaedic Surgery Physician, NPI 1003962622
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
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Provider Addresses for CODY J. HARTSHORN (MD)
Lake Granbury Medical Center, 1310, Paluxy Road, Wright-Henderson-Duncan House, Granbury, Hood County, Texas, 76048, United States
GRANBURY, TX 760485655
Phone: (817) 578-3910
Type: Mailing
Paluxy Road, Wright-Henderson-Duncan House, Granbury, Hood County, Texas, 76048, United States
SUITE 3000
GRANBURY, TX 760485655
Phone: (817) 578-3910
Fax: (817) 578-3909
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Mindray DS USA, Inc. ($33).
Total Amount
$58
General + Research + Ownership
Payments
2
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mindray DS USA, Inc. | $33 |
| Pacira Pharmaceuticals Incorporated | $24 |
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: 2010-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101014000286 | I | Orthopedic Surgery | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 993 | 177 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 423 | 296 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 414 | 206 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 262 | 63 | $0 |
| 73562 | X-ray of knee, 3 views | 158 | 139 | $0 |
Insurance plans in this area (ZIP 76048)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 345 | 233 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| U R O L O G Y | TX | |
| Family Practice | TX | |
| General Surgery | TX | |
| Osteopathic Manipulative Medicine | WV | |
| Nurse Practitioner | TX |
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