Individual provider Active NPI

Laurie Ann Duckett, DO

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
National Provider Identifier
1114923794
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2860 Issued in OK
Practice address
717 S Houston Ave Ste 500
Tulsa, OK 74127-9008
Phone
(918) 747-5322
Fax
(918) 746-7604
NPI assigned
Jun 28, 2005
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 2860 OK Primary

Addresses

Primary practice location

717 S Houston Ave Ste 500
Tulsa, OK 74127-9008

Mailing address

5310 E 31St St Ste 13
Tulsa, OK 74135-5013
Phone (918) 561-5701

Other identifiers 1

IdentifierTypeStateIssuer
100136020BMedicaidOK

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
I20040812000010 OK Practitioner - Plastic and Reconstructive Surgery 9739151473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1989
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)

744 W 9TH St
Ok State Univ Med CNTR
Tulsa, OK 74127-9020

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy20
Removal of tissue36
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2860OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University CurrentSince Sep 13, 2022 Accepting new patients
Oklahoma State University CurrentSince Sep 13, 2022 Accepting new patients
Oklahoma State University Current Accepting new patients
Osumc Professional Services LLC Plastic and Reconstructive Surgery CurrentSince Oct 31, 2022 Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

2121 S Columbia Ave
Ste 300
Tulsa, OK 74114
Phone (918) 395-2020

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

717 S Houston Ave
Ste 500
Tulsa, OK 74127
Phone (918) 747-5322

802 S Jackson Ave
Ste 505
Tulsa, OK 74127
Phone (918) 599-5222

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

Dept 2563
Tulsa, OK 74182

Dept 2732
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: lduckett211378@direct.saintfrancis.com
  • Direct secure messaging: lduckett714725@directa.mercy.net

Organizations & group practices 5

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

Hospital & facility affiliations 4

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1114923794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST STE 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355013",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279008",
            "telephone_number": "918-747-5322",
            "fax_number": "918-746-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "2860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136020B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.