Northeastern Health System

A Medicare group practice based in Tahlequah, OK: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 1456255025), with 159 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456255025The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
OK
Enrollments
9
Group size
105 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 3 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20050519001008 OK Part A Provider - Hospital 1003865999
O20031125000250 OK Part B Supplier - Clinic/Group Practice 1457574170
O20080502000094 OK Part A Provider - Hospital 1619031465
O20080502000112 OK Part A Provider - Hospital 1528122371
O20081229000203 OK Part A Provider - Hospital 1003865999
O20231016000910 OK Part B Supplier - Opioid Treatment Program (Otp) 1689338519
O20170605000888 OK Part A Provider - Rural Health Clinic 1013458652
O20170605000616 OK Part A Provider - Rural Health Clinic 1306387949
O20170606000646 OK Part A Provider - Rural Health Clinic 1366983850

NPIs in this group 10

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
90.91 of 100Reported as apm, on the record of 74 clinicians in this group
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Clinicians 159

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Clinicians who reassign their Medicare benefits to this group (159) or whom Care Compare lists as members (105).

Sources for this page