Cody Cissom, D.O.
NPI 1104511153 · Internal Medicine Physician · Tupelo, MS
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cody Cissom, D.O. is a Internal Medicine Physician provider in Tupelo, MS (NPI 1104511153).
Provider details
- NPI number
- 1104511153
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- PENDING (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 38 | 16 |
| Atorvastatin Calcium | 24 | — |
| Ezetimibe | 20 | — |
| Gabapentin | 18 | — |
| Losartan Potassium | 17 | — |
| Omeprazole | 14 | — |
| Metoprolol Succinate | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$73 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-06
- Last updated
- 2023-04-06
- Certified
- 2023-03-26
Frequently asked questions
- What is Cody Cissom's NPI number?
- Cody Cissom's National Provider Identifier (NPI) is 1104511153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cody Cissom's specialty?
- Cody Cissom is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cody Cissom located?
- Cody Cissom's practice location on file with NPPES is 830 S Gloster St, Tupelo, MS 38801-4996.
- What is Cody Cissom's phone number?
- The practice phone number listed in the NPPES registry for Cody Cissom is (662) 377-3000.
- Does Cody Cissom accept Medicare?
- Cody Cissom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cody Cissom's NPI active?
- Yes — Cody Cissom's NPI (1104511153) is active in the NPPES registry as of the last update on 2023-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.