Individual provider Active NPI

Colby Degiacomo, D.O.

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1033645361
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6641 Issued in OK
Practice address
5801 E 41St St Ste 900
Tulsa, OK 74135-5631
Phone
(918) 743-8943
Fax
(918) 743-8552
NPI assigned
May 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 6641 OK Primary

Addresses

Primary practice location

5801 E 41St St Ste 900
Tulsa, OK 74135-5631

Mailing address

5801 E 41St St Ste 900
Tulsa, OK 74135-5631
Phone (918) 743-8943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930003689 OK Practitioner - Diagnostic RadiologyPractitioner - Hospitalist 5799104378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oklahoma State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Oklahoma Radiology Physicians LLCGroup PAC ID 5294184453, 3 clinicians

Practice addresses (Care Compare)

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
41.71

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
79.93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Medical Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 5, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 20, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 18, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Envision Imaging of Acadiana LLC Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 19, 2025 Accepting new patients
Utah Medical Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 5, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 18, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients
Zoom Diagnostic Imaging Ardmore LLC CurrentSince Jul 1, 2025 Accepting new patients
Open MRI of Durant,LLC CurrentSince Jul 1, 2025 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 18, 2025 Accepting new patients
Zoom Diagnostic Imaging LLC CurrentSince Jul 1, 2025 Accepting new patients
Tulsa Radiology Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Northeast Oklahoma Radiology Physicians LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Nov 21, 2025 Accepting new patients

Locations

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

5801 E 41st St
Ste 900
Tulsa, OK 74135
Phone (918) 743-8838

Organizations & group practices 30

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.

View all 30

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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1033645361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-743-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355631",
            "telephone_number": "918-743-8943",
            "fax_number": "918-743-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIACOMO",
        "first_name": "COLBY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.