CODY HANSEN (MD) – Ophthalmology Physician, NPI 1396323853

CODY HANSEN (MD) is a healthcare provider. based in Garland, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. V7224 (TX). The NPI Number for CODY HANSEN (MD) is 1396323853

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CODY HANSEN (MD)
NPI
1396323853
Phone
(972) 272-5591
Address
1626 FOREST LN S STE B
Enumeration Date
29 March 2021
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
9722725591
Graduation Year
2021 (5 years ago)
PAC ID
0143731141
Group Practice PAC ID
4981687100
Professional Enrollment ID
I20250617001501
Address ID
TX750427989GA1626XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for CODY HANSEN (MD)

  • 1626 FOREST LN S STE B

    GARLAND, TX 750427943

    Phone: (972) 272-5591

    Fax: (972) 276-5413

    Type: Mailing

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907201

    Phone:

    Type: Mailing

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: 2025-06-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250617001501IOphthalmologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75042)

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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: 4981687100View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

How do I look up CODY HANSEN (MD) by NPI?
Use NPI 1396323853 when you need to reference CODY HANSEN (MD) in forms, claims, or directories.
Is CODY HANSEN (MD) currently active in the NPI registry?
CMS-published data lists CODY HANSEN (MD) as an active registrant.
What field does CODY HANSEN (MD) work in?
You can think of CODY HANSEN (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place CODY HANSEN (MD)?
The snapshot lists Garland, Texas for CODY HANSEN (MD); download NPPES for the complete set.
How can I contact CODY HANSEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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