CODY IMAGING CENTER LLC – Radiology Clinic/Center, NPI 1730857343

CODY IMAGING CENTER LLC is a healthcare provider. based in Longview, Texas. specializing in Radiology Clinic/Center. The NPI Number for CODY IMAGING CENTER LLC is 1730857343

Main info

Organization
Name
CODY IMAGING CENTER LLC
NPI
1730857343
Phone
(903) 663-4800
Address
3206 4TH ST
Authorized Official
TRAVIS GRAHAM MEDICAL DIRECTOR M.D.
Enumeration Date
31 August 2021
Last Update Date
15 November 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for CODY IMAGING CENTER LLC

  • 3206 4TH ST

    LONGVIEW, TX 756055143

    Phone: (903) 663-4800

    Fax: (903) 663-7394

    Type: Mailing

  • 720 LINDSAY LN STE D

    CODY, WY 824144143

    Phone: (307) 586-2958

    Fax: (307) 586-4158

    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: 2021-11-30

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
O20211130000814OIndependent Diagnostic Testing Facility (Idtf)WYTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml16,625105$0
72148Mri scan of lower spinal canal without contrast243230$0
73721Mri scan of leg joint without contrast127115$0
72141Mri scan of upper spinal canal without contrast123122$0
73221Mri scan of arm joint without contrast10697$0
View full utilization report →

Insurance plans in this area (ZIP 75605)

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Reviews

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Frequently asked questions

Can I use this page to confirm CODY IMAGING CENTER LLC's NPI?
Yes. CODY IMAGING CENTER LLC is listed with NPI 1730857343 in the public NPI dataset.
Does the file indicate CODY IMAGING CENTER LLC is practicing under active NPI?
Directory data currently reports CODY IMAGING CENTER LLC as active.
What is CODY IMAGING CENTER LLC's primary classification?
Radiology Clinic/Center is the headline specialty for CODY IMAGING CENTER LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect CODY IMAGING CENTER LLC on a map?
Expect Longview, Texas as a primary anchor for CODY IMAGING CENTER LLC unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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