Bobby Ray Abernathy, D.O.
Individual provider Active NPI Emergency Medicine Physician · Tulsa, OK
NPI 1114289659 · NPPES record last updated Sep 13, 2018
Key facts
- NPI
- 1114289659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 5342 (OK)
- Practice address
- 744 W 9TH St
Tulsa, OK 74127-9020 - Phone
- (918) 599-1000
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ies ER Oklahoma LLC
Oklahoma State University
Practice addresses (Care Compare)
140 W 151St St S
Glenpool, OK 74033-4523
Phone (918) 321-7000
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
- Saint Francis Hospital, Inc
- Oklahoma State University Medical Center
- Lawton Indian Hospital
- Claremore Indian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130925000107 | OK | Practitioner - Emergency Medicine | 7113161555 | Reassigns benefits to 4 organizations |
| I20160705000451 | TX | Practitioner - Emergency Medicine | 7113161555 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5342 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| Oklahoma State University | Emergency Medicine | Current |
Accepting new patients |
| Oklahoma State University | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current |
Accepting new patients |
| McAlester Regional Health Center Authority | Current |
Accepting new patients | |
| Ies ER Oklahoma LLC | Emergency Medicine | Current |
Accepting new patients |
| Oklahoma State University | Current |
Accepting new patients | |
| Oklahoma State University Medical Trust | Past | Accepting new patients |
Locations
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300
140 W 151st St S
Glenpool, OK 74033
Phone (918) 321-7000
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701
Dept 2563
Tulsa, OK 74182
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
Interoperability endpoints
- babernathy82106@direct.saintfrancis.com
- bobby.abernathy.1@23846.direct.athenahealth.com
- babernathy325784@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5342 | OK | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
744 W 9TH St
Tulsa, OK 74127-9020
Mailing address
2744 W 66TH St
Tulsa, OK 74132-1399
Phone (405) 639-0053
Other providers in Tulsa, OK
- Robert Abed
- Abel Eye Associates PLLC
- Nicole L Abel
- Jacqueline Renee Abels
- Jennifer Abercrombie
- Courtney Gayle Abernathy
- Kent Abernathy
- William Marcus Abernathy
- Dominique Abeyta
- Esther Abiara
All providers in Tulsa, OK · Emergency Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.