NPIMap

Individual provider Active NPI

Greg Daniel Pickett, D.O.

  • Orthopaedic Surgery Physician
  • Altus, OK
National Provider Identifier
1609831833
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4548 Issued in OK
Practice address
1200 E Pecan St
Altus, OK 73521-6141
Phone
(580) 379-5000
Fax
(580) 379-5509
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 4548 OK Primary

Addresses

Primary practice location

1200 E Pecan St
Altus, OK 73521-6141

Mailing address

304 S Park LN
Altus, OK 73521-5753
Phone (580) 379-6500

Other identifiers 1

IdentifierTypeStateIssuer
200116570AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GregPickett@direct.jcmh.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000550 OK Practitioner - Orthopedic Surgery 2466415997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Memorial Hospital AuthorityGroup PAC ID 1759293178, 46 clinicians

Practice addresses (Care Compare)

1200 E Pecan St
Altus, OK 73521-6141

205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650

Hospital & facility affiliations

  • Jackson County Memorial Hospital Authority Home health agency, Altus, OK, CCN 377137
  • Triad Home Health LLC Home health agency, Mangum, OK, CCN 377747
  • Angels Care Home Health of Oklahoma Home health agency, Oklahoma City, OK, CCN 377447
  • Angels Care Home Health Home health agency, Wichita Falls, TX, CCN 459298
  • Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Harmon Memorial Hospital Hospital, Hollis, OK, CCN 371338
  • Wilbarger General Hospital Hospital, Vernon, TX, CCN 450584
  • Hardeman County Memorial Hospital Hospital, Quanah, TX, CCN 451352
  • Elkview General Hospital Hospital, Hobart, OK, CCN 370783
  • Jackson County Memorial Hospital Authority Nursing home, CCN 37U022

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement36
Knee replacement67
Lower limb (leg) arthroscopy (minimally invasive joint repair)22
Upper limb (arm) arthroscopy (minimally invasive joint repair)42
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority CurrentSince Aug 1, 2007 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Aug 1, 2007 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients
Kiowa County Hospital Authority Past Accepting new patients

Locations

1200 E Pecan St
#R
Altus, OK 73521
Phone (580) 379-5546

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

304 S Park Ln
Altus, OK 73521
Phone (580) 379-6500

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

Interoperability endpoints

  • Direct secure messaging: gregpickett@direct.jcmh.com

Organizations & group practices 5

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 12

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1609831833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215753",
            "telephone_number": "580-379-6500",
            "fax_number": "580-379-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216141",
            "telephone_number": "580-379-5000",
            "fax_number": "580-379-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "GREG",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "4548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116570A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GregPickett@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "1200 E Pecan St",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735216141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.