Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Michael-Ty Deck, DO

Individual provider Family Medicine Physician · NPI 1720669591

Cody Michael-Ty Deck, DO is a Family Practice in Greeley, Colorado. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices with Banner Hospital Based Physicians Colorado LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CO
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1801 16th St
Greeley, CO 80631-5199
Phone: (970) 810-6087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0072886 (CO)

Record details

NPI number1720669591
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address103 Bluebell Ct, Wiggins, CO 80654-7923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2021 (5 years in practice)
Group practice Banner Hospital Based Physicians Colorado Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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