NPIMap

Individual provider Active NPI

Megan Breffney Wilson, D.O.

  • Family Medicine Physician
  • Okmulgee, OK
National Provider Identifier
1013283209
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5468 Issued in OK
Practice address
112 West 5TH Street
Okmulgee, OK 74447
Phone
(918) 752-1080
Fax
(918) 752-1081
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5468 OK Primary

Addresses

Primary practice location

112 West 5TH Street
Okmulgee, OK 74447

Mailing address

112 West 5TH Street
Okmulgee, OK 74447-5320
Phone (918) 752-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210002266 OK Practitioner - Family Practice 4183856222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osumc Professional Services LLCGroup PAC ID 9234254012, 21 clinicians

Practice addresses (Care Compare)

9645 Riverside Pkwy
Suite C
Tulsa, OK 74137-7427
Phone (918) 209-5170

Hospital & facility affiliations

  • Mays Home Health of NC Ok Home health agency, Okmulgee, OK, CCN 377273
  • Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
  • Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
  • Seasons Hospice Hospice, Muskogee, OK, CCN 371721
  • Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057
  • Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Hillcrest Hospital Henryetta Hospital, Henryetta, OK, CCN 370183

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
81.62
Promoting interoperability
99
Improvement activities
40
Cost
72.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2015 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2015 Accepting new patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Osumc Professional Services LLC Family Medicine CurrentSince Dec 29, 2019 Accepting new patients
Wilson Family Medical Care Family Medicine Current Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients

Locations

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

112 W 5th St
Okmulgee, OK 74447
Phone (918) 752-1080

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

Dept 2732
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137
Phone (918) 209-5170

Interoperability endpoints

  • Direct secure messaging: mwilson219921@direct.saintfrancis.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seasons HospiceMuskogee, OK, CCN 371721 Hospice Other Feb 28, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1013283209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WEST 5TH STREET",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475320",
            "telephone_number": "918-752-1080",
            "fax_number": "918-752-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WEST 5TH STREET",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-752-1080",
            "fax_number": "918-752-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MEGAN",
        "middle_name": "BREFFNEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.