NPIMap

Individual provider Active NPI

Tyson Dale Fisher, M.D.

  • Otolaryngology Physician
  • Elk City, OK
National Provider Identifier
1023320108
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
31696 Issued in OK
Practice address
1800 W 1St St
Ste 3
Elk City, OK 73644-3133
Phone
(405) 757-3510
Fax
(405) 757-3511
NPI assigned
Jul 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 31696 OK Primary

Addresses

Primary practice location

1800 W 1St St
Ste 3
Elk City, OK 73644-3133

Mailing address

100 NE 85TH St Ste C
Oklahoma City, OK 73114-3916
Phone (405) 285-2744

Other practice location 1

100 NE 85th St Ste C
Oklahoma City, OK 73114-3916
Phone (405) 285-2744

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
I20150929002304 OK Practitioner - Otolaryngology 7315255080 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmers Union Hospital AssociationGroup PAC ID 7517949415, 43 clinicians

Practice addresses (Care Compare)

14041 N Eastern Ave
Edmond, OK 73013-5586
Phone (405) 888-3893

1800 W 1St St
3 Great Plains Regional Medical Center
Elk City, OK 73644-3133
Phone (580) 225-2511

Hospital & facility affiliations

  • Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323
  • Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
70.05 of 100Reported as group
Quality
52.07
Promoting interoperability
100
Improvement activities
40
Cost
48.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31696OKMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Mar 15, 2019 Accepting new patients
Farmers Union Hospital Association Current Accepting new patients
Weatherford Hospital Authority CurrentSince Jan 11, 2021 Accepting new patients
Tyson D Fisher MD PLLC Otolaryngology CurrentSince Nov 11, 2021 Accepting new patients
Weatherford Hospital Authority CurrentSince Jan 11, 2021 Accepting new patients
Weatherford Hospital Authority Current Accepting new patients
Weatherford Hospital Authority CurrentSince Jul 1, 2025 Accepting new patients
Weatherford Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

14041 N Eastern Ave
Edmond, OK 73013
Phone (405) 888-3893

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

100 NE 85th St
Ste C
Oklahoma City, OK 73114
Phone (405) 601-4227

3743 Legacy
Weatherford, OK 73096
Phone (580) 772-0223

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • Direct secure messaging: tyson.fisher@gprmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFJDD/Endpoint/EBFJDD
  • Direct secure messaging: tfisher402587@direct-ehr-ssmhc.com

Ownership & related parties

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Onecore HealthOklahoma City, OK, CCN 370220 Hospital Operational/Managerial Control Jul 22, 2025
Great Plains Regional Medical CenterElk City, OK, CCN 370019 Hospital Corporate Director Nov 1, 2022
Great Plains Regional Medical CenterElk City, OK, CCN 37S019 Hospital Corporate Director Nov 4, 2022
Great Plalins Regional Medical CenterElk City, OK, CCN 37U019 Hospital Corporate Director Nov 4, 2022
Great Plains Regional Medical CenterElk City, OK, CCN 37T019 Hospital Corporate Director Dec 1, 2022
Great Plains Home CareElk City, OK, CCN 377418 Home health agency Corporate Director Jan 1, 2023
Great Plains Regional Medical CenterElk City, OK, CCN 378524 Rural health clinic Corporate Director Mar 6, 2019
Great Plains Regional Medical CenterElk City, OK, CCN 378526 Rural health clinic Corporate Director Mar 6, 2019

Owned or controlled facilities with NPI records 8

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

Organizations & group practices 10

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 6

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1023320108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE 85TH ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731143916",
            "telephone_number": "405-285-2744",
            "fax_number": "405-295-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "STE 3",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "405-757-3510",
            "fax_number": "405-757-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 NE 85th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731143916",
            "country_code": "US",
            "telephone_number": "405-285-2744",
            "fax_number": "405-295-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TYSON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "31696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.