NPIMap

Individual provider Active NPI

Mark Paden, M.D.

  • Orthopaedic Surgery Physician
  • Stillwater, OK
National Provider Identifier
1336288133
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22955 Issued in OK
Practice address
511 Windsor Dr
Stillwater, OK 74074-6962
Phone
(405) 707-0900
Fax
(405) 707-3363
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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 22955 OK Primary

Addresses

Primary practice location

511 Windsor Dr
Stillwater, OK 74074-6962

Mailing address

511 Windsor Dr
Stillwater, OK 74074-6962
Phone (405) 707-0900

Other identifiers 1

IdentifierTypeStateIssuer
22955OtherOKSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000579 OK Practitioner - Orthopedic Surgery 9537251780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

2230 N Perkins Rd
Stillwater, OK 74075-3076
Phone (405) 780-9919

511 Windsor Dr
Stillwater, OK 74074-6962
Phone (405) 737-0900

Hospital & facility affiliations

  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Stillwater Medical-Blackwell Hospital, Blackwell, OK, CCN 370780
  • Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006
  • Hillcrest Hospital Cushing Hospital, Cushing, OK, CCN 370099
  • Lawton Indian Hospital Hospital, Lawton, OK, CCN 370170

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement31
Knee replacement69
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22955OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Sep 3, 2013 Accepting new patients
Stillwater Medical Center Authority CurrentSince Sep 3, 2013 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

511 Windsor Dr
Stillwater, OK 74074

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Interoperability endpoints

  • Direct secure messaging: mark.paden.p1@direct.smc.nextgenshare.com

Organizations & group practices 6

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 10

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1336288133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WINDSOR DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746962",
            "telephone_number": "405-707-0900",
            "fax_number": "405-707-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WINDSOR DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746962",
            "telephone_number": "405-707-0900",
            "fax_number": "405-707-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "22955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "22955",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.