Active NPI
Michael W Hammond, MD
- Family Medicine Physician
- Muskogee, OK
National Provider Identifier
1104861616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15215
- Practice address
- 3900 W Broadway St
Muskogee, OK 74401-2145 - Phone
- (918) 682-8612
- Fax
- (918) 682-0620
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15215 | OK | Primary |
Addresses
Primary practice location
3900 W Broadway St
Muskogee, OK 74401-2145
Mailing address
3900 W Broadway St
Muskogee, OK 74401-2145
Phone (918) 682-8612
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005001249 | OK | Practitioner - Family Practice | 7214952522 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1984
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Brayderik Consulting
Practice addresses (Care Compare)
1607 S Muskogee Ave
Suite C
Tahlequah, OK 74464-5440
Phone (918) 931-7232
Hospital & facility affiliations
- Traditions Health of Stigler
- Angels Care Home Health of East Oklahoma
- Traditions Health of McAlester
- Gentiva X
- Northeastern Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.04 of 100
- Quality
- 39.7
- Improvement activities
- 40
- Cost
- 53.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Internal Medicine Care PC | Current | Accepting new patients | |
| Brayderik Consulting | Current | Accepting new patients | |
| Michael W Hammond, M.D. | Family Medicine | Past | Accepting new patients |
| Northeastern Health System | Past | Accepting new patients |
Locations
3900 W Broadway St
Muskogee, OK 74401
Phone (918) 682-8612
1607 S Muskogee Ave
Ste C
Tahlequah, OK 74464
Phone (918) 456-0011
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
- Home Health Agency
- Stigler, OK
- NPI 1144966920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1104861616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012145",
"telephone_number": "918-682-8612",
"fax_number": "918-682-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W BROADWAY ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744012145",
"telephone_number": "918-682-8612",
"fax_number": "918-682-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "15215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.