Individual provider Active NPI

Jonathan Michael Peaster

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1467913368
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7024 Issued in OK
Practice address
744 W 9TH St
Tulsa, OK 74127-9907
Phone
(918) 599-1000
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7024 OK Primary

Addresses

Primary practice location

744 W 9TH St
Tulsa, OK 74127-9907

Mailing address

744 W 9TH St
Tulsa, OK 74127-9907
Phone (918) 599-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210921001120 OK Practitioner - Emergency Medicine 8123425089 Reassigns benefits to 6 organizations
I20220621001376 TX Practitioner - Emergency Medicine 8123425089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

1027 E Cherry St
Cushing, OK 74023-4101
Phone (918) 225-2915

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University Current Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Oklahoma State University Emergency Medicine CurrentSince Jan 30, 2024 Accepting new patients
Adair County Health Center,Inc. Current Accepting new patients
Oklahoma State University CurrentSince Jan 30, 2024 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Jan 13, 2026 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Adair County Health Center, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 15, 2021 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Mar 24, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 15, 2022 Accepting new patients
Adair County Health Center, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 15, 2021 Accepting new patients
Cleveland Area Hospital Holdings, Inc. Past Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients
Creek Nation Hospital & Clinics Past Accepting new patients

Locations

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Dept 2563
Tulsa, OK 74182

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

Interoperability endpoints

  • Direct secure messaging: jpeaster835907@ahs.direct-ci.com
  • Direct secure messaging: jon.peaster.1@23846.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1467913368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279907",
            "telephone_number": "918-599-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279907",
            "telephone_number": "918-599-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASTER",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "7024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.