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
Hospital & facility affiliations 4
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
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
- Enhabit Home Health of Eastern Oklahoma
- Saint Francis Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 61.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 27 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 38 |
| Removal of tissue | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000907 | OK | Practitioner - Orthopedic Surgery | 0547243222 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Bone & Joint Associates PC | Orthopaedic Surgery | Current |
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
- marchel.clements@direct.stjohnhealthsystem.com
- mclements327824@ahs.direct-ci.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
- mclements50868@direct.saintfrancis.com
- marchel.clements@tbja.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100150800A | Medicaid | OK | |
| 5454227 | Other | CIGNA | |
| 5932735 | Other | AETNA |
NPI Registry JSON
{
"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
- Jacquyn W Cleary
- Kloie Dawn Clegg
- Aubrey Maree Clemens
- Paige Clement
- Eric L. Clements
- Natalie Ann Clements
- Sean Clements
- Renita Clemons
- Llon Hurst Clendenen
- Tracey Marie Clere
All providers in Tulsa, OK · Orthopaedic Surgery Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.