NPIMap

Peng Yu, MD, PHD

Individual provider Active NPI Surgery Physician · Lawton, OK

NPI 1124468277 · NPPES record last updated Feb 13, 2025

Key facts

NPI
1124468277
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
S5141 (TX)
Practice address
5604 SW Lee Blvd Ste 210
Lawton, OK 73505-9663
Phone
(580) 531-6465
Fax
(580) 531-6426
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
Yes

Organizations & group practices 11

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Surgeons Medical Group Inc (9 clinicians)
North Brevard Medical Support Inc (62 clinicians)

Practice addresses (Care Compare)

120 W Hellman Ave
Suite 203
Monterey Park, CA 91754-1209
Phone (626) 457-6333

250 Harrison St
Titusville, FL 32780-5094
Phone (321) 268-6834

Hospital & facility affiliations

  • Alhambra Hospital Medical Center Hospital · Alhambra, CA · CCN 050281
  • Garfield Medical Center Hospital · Monterey Park, CA · CCN 050737
  • San Gabriel Valley Medical Center Hospital · San Gabriel, CA · CCN 050132
  • Monterey Park Hospital Hospital · Monterey Park, CA · CCN 050736

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100 (apm)
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100 (group)
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100 (group)
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in MA, FL, TX, OK, CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210213000014 MA Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization
I20221028000138 FL Practitioner - Cardiovascular Disease (Cardiology) 7810234887 Reassigns benefits to 1 organization
I20240326002756 TX Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization
I20250217001923 OK Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization
I20250714002622 CA Practitioner - General Surgery 7810234887 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
S5141TXMDGastroenterology Physician
ME159414FLMDSurgery Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. Current
since Apr 3, 2021		 Accepting new patients
Regional Employee Assistance Program Inc. Multi-Specialty Current
since May 1, 2024		 Accepting new patients
North Brevard Medical Support, Inc Multi-Specialty Current
since Nov 1, 2022		 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Multi-Specialty Current
since Apr 3, 2021		 Accepting new patients
Southwestern Surgical Affiliates, LLC Multi-Specialty Current
since Mar 1, 2025		 Accepting new patients
Regional Employee Assistance Program Inc Multi-Specialty Current
since May 1, 2024		 Accepting new patients
Hendrick Provider Network Current
since Dec 9, 2024		 Accepting new patients
Advance Surgeons Medical Group Inc Multi-Specialty Current
since Jul 8, 2025		 Accepting new patients
Hendrick Provider Network Multi-Specialty Current
since Dec 9, 2024		 Accepting new patients
Regional Employee Assistance Program Inc Multi-Specialty Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

18575 Gale Ave
Ste 295
City of Industry, CA 91748
Phone (626) 369-9663

120 W Hellman Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 457-6333

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

805 Century Medical Dr
Ste C
Titusville, FL 32796
Phone (321) 268-6264

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

5604 SW Lee Blvd
Ste 210
Lawton, OK 73505
Phone (580) 531-4700

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

125 S Park Dr
Ste A
Brownwood, TX 76801
Phone (325) 641-1648

605 E San Antonio St
Ste 510E
Victoria, TX 77901
Phone (361) 576-9342

601 E San Antonio St
#510E
Victoria, TX 77901
Phone (361) 572-4657

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pyu206518@direct.renown.org
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME159414 FL
Surgery Physician 208600000X 285974 MA
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X S5141 TX Yes

Addresses

Primary practice location

5604 SW Lee Blvd Ste 210
Lawton, OK 73505-9663

Mailing address

5604 SW Lee Blvd Ste 210
Lawton, OK 73505-9663
Phone (580) 531-6465

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address pengyu@buffalo.edu

Other providers in Lawton, OK

All providers in Lawton, OK · Surgery Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.