Marchel Word Clements, D.O.

Individual provider Active NPI Orthopaedic Surgery Physician · Tulsa, OK

NPI 1386672913 · NPPES record last updated Nov 14, 2016

Key facts

NPI
1386672913
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
2945 (OK)
Practice address
4812 S 109TH East Ave
Ste. 300
Tulsa, OK 74146-5826
Phone
(918) 236-4580
Fax
(918) 236-4587
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

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 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
Orthopedic Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Bone and Joint Associates PC (91 clinicians)

Practice addresses (Care Compare)

4812 S 109TH E Ave
Tulsa, OK 74146-5826
Phone (918) 392-1513

Hospital & facility affiliations

  • Enhabit Home Health of Northeast Oklahoma Home health agency · Broken Arrow, OK · CCN 377572
  • Enhabit Home Health of Eastern Oklahoma Home health agency · Muskogee, OK · CCN 377643
  • Saint Francis Hospital, Inc Hospital · Tulsa, OK · CCN 370091

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100 (group)
Quality
61.03
Promoting interoperability
99
Improvement activities
40
Cost
77.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement27
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)38
Removal of tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
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
I20100204000907 OK Practitioner - Orthopedic Surgery 0547243222 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Bone & Joint Associates PC Orthopaedic Surgery Current
since Feb 1, 2010
Accepting new patients
Osu Health System Anesthesia Past Accepting new patients

Locations

2950 S Elm Pl
Ste 460
Broken Arrow, OK 74012
Phone (918) 451-1100

4812 S 109th East Ave
Ste 300
Tulsa, OK 74146
Phone (918) 236-4580

4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513

4812 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1482

Interoperability endpoints

  • Direct secure messaging: marchel.clements@direct.stjohnhealthsystem.com
  • Direct secure messaging: mclements327824@ahs.direct-ci.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
  • Direct secure messaging: mclements50868@direct.saintfrancis.com
  • Direct secure messaging: marchel.clements@tbja.gwaydirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2945 OK Yes

Addresses

Primary practice location

4812 S 109TH East Ave
Ste. 300
Tulsa, OK 74146-5826

Mailing address

4802 S 109TH East Ave
Tulsa, OK 74146-5822
Phone (918) 392-1400

Other identifiers

IdentifierTypeStateIssuer
100150800AMedicaidOK
5454227OtherCIGNA
5932735OtherAETNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 14, 2016.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1386672913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465822",
            "telephone_number": "918-392-1400",
            "fax_number": "918-392-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 S 109TH EAST AVE",
            "address_2": "STE. 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465826",
            "telephone_number": "918-236-4580",
            "fax_number": "918-236-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "MARCHEL",
        "middle_name": "WORD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "2945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100150800A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5454227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5932735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

All providers in Tulsa, OK · Orthopaedic Surgery Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.