Individual provider Active NPI

Timothy Wayne Teske, D.O.

  • Orthopaedic Surgery Physician
  • Enid, OK
National Provider Identifier
1235219882
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3929 Issued in OK
Practice address
900 W Cherokee Ave
Enid, OK 73701-5410
Phone
(580) 233-6707
Fax
(580) 233-3724
NPI assigned
Oct 17, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 3929 OK Primary

Addresses

Primary practice location

900 W Cherokee Ave
Enid, OK 73701-5410

Mailing address

PO Box 1484
Enid, OK 73702-1484
Phone (580) 233-6707

Other practice location 1

4900 Oklahoma Ave
Woodward, OK 73801-3719
Phone (580) 254-5316

Other identifiers 1

IdentifierTypeStateIssuer
100102540AMedicaidOK

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
I20100302000075 OK Practitioner - Orthopedic Surgery 9537201777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Oklahoma Orthopaedic Clinic PCGroup PAC ID 3870584931, 9 clinicians

Practice addresses (Care Compare)

900 W Cherokee Ave
Enid, OK 73701-5410
Phone (580) 233-6707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.44 of 100Reported as group
Quality
63.57
Improvement activities
40
Cost
70.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement42
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3929OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Oklahoma Orthopaedic Clinic Inc Orthopaedic Surgery CurrentSince Jul 22, 2002 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

330 S 5th St
Ste 501
Enid, OK 73701
Phone (580) 233-6707

900 W Cherokee Ave
Enid, OK 73701
Phone (580) 233-6707

4900 Oklahoma Ave
Woodward, OK 73801
Phone (580) 254-5316

Organizations & group practices 2

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 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1235219882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737021484",
            "telephone_number": "580-233-6707",
            "fax_number": "580-233-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W CHEROKEE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015410",
            "telephone_number": "580-233-6707",
            "fax_number": "580-233-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738013719",
            "country_code": "US",
            "telephone_number": "580-254-5316",
            "fax_number": "580-256-6508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESKE",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "3929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.