Individual provider Active NPI

Marchel Word Clements, D.O.

  • Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1386672913
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2945 Issued in 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
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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 2945 OK Primary

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

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
I20100204000907 OK Practitioner - Orthopedic Surgery 0547243222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 9335033802, 91 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2945OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Bone & Joint Associates PC Orthopaedic Surgery CurrentSince 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

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

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

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

Interoperability endpoints

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

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 4

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.