NPIMap

Oklahoma State University

A Medicare group practice based in Tulsa, OK: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2769739358), with 179 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2769739358The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
OK
Enrollments
2
Group size
110 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20180730000192 OK Part B Supplier - Clinic/Group Practice 1700994878
O20210115000424 OK Part B Supplier - Independent Clinical Laboratory 1326495433

NPIs in this group 3

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
93.91 of 100Reported as group, on the record of 107 clinicians in this group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Clinicians 179

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (179) or whom Care Compare lists as members (110).

Sources for this page