Brooke Kelley Stough, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

297 Issued in OK

Practice address

314 E Owen K Garriott Rd
Enid, OK 73701-5712

Phone

(580) 249-3929

Fax

(580) 234-3301

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Physician Associates LLCGroup PAC ID 3678672276, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abiding Home Health of Oklahoma City Home health agency, Oklahoma City, OK, CCN 377675
• St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
• Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.stough@ipmcentral.cernerdirect.com

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.

• St. Mary'S Physician Associates, LLC

  • Family Medicine Physician
  • Enid, OK
  • NPI 1740302751
  Medicare reassignment Care Compare group NPD
• St. Mary'S Physician Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Enid, OK
  • NPI 1568270882

  Foot & Ankle Surgery

  NPD
• Aggeus Healthcare, P.C.

  • Podiatrist
  • Chicago, IL
  • NPI 1033156955
  NPD (past)
• Jondelle Jenkins

  • Podiatrist
  • Chicago, IL
  • NPI 1639109382

  Foot & Ankle Surgery

  NPD (past)

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

• Impressions Home Health Care

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1417030446
  Care Compare affiliation
• Integris Health Ponca City Hospital Inc

  • General Acute Care Hospital
  • Ponca City, OK
  • NPI 1548047616
  Care Compare affiliation
• Uhs of Oklahoma, LLC

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1376794776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-249-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015712",
            "telephone_number": "580-249-3929",
            "fax_number": "580-234-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N 4th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746012749",
            "country_code": "US",
            "telephone_number": "580-749-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUGH",
        "first_name": "BROOKE",
        "middle_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew David Stogsdill, PHARMD
• Grey Alexavier Micheal Stone
• Jerome Stonebarger
• Stotts Eyecare PC
• Heath David Stotts, O.D.
• James Daniel Stough, DPM
• Shannon Cozette Stout
• Ty Stroble
• Courtney Erin Strzinek, B.H.R.S.
• Linda Suderman, RN, IBCLC

• Foot & Ankle Surgery Podiatrist in Enid, OK
• Providers in Enid, OK by specialty
• Foot & Ankle Surgery Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.