Vance Edmond McCollom, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

17658 Issued in OK

Practice address

3300 NW Expressway FL 2
Oklahoma City, OK 73112-4418

Phone

(405) 949-3417

Fax

(405) 552-5165

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of Oklahoma College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Ibmc ER PhysiciansGroup PAC ID 6709963085, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
• Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
• Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
• Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211

Merit-based Incentive Payment System (MIPS)

Final score

47.33 of 100Reported as individual

Quality

55.21

Improvement activities

0

Cost

67.5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmccollom197858@direct.integrisok.com
• Direct secure messaging: vance.mccollom.1@16981.direct.athenahealth.com
• Direct secure messaging: vance.mccollom.1@17407.direct.athenahealth.com

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.

• Ibmc ER Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Oklahoma City, OK
  • NPI 1295839280
  Medicare reassignment Care Compare group NPD
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936
  Medicare reassignment Care Compare group NPD
• Integris Baptist Medical Center Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1831103654
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Southwest Imaging and Interventional Specialists, P.a.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1063461598
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris Baptist Medical Center Inc

  • Psychiatric Hospital Unit
  • Oklahoma City, OK
  • NPI 1598837221
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1659443372
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1831103654
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1881760759
  Care Compare affiliation
• Integris Bass Baptist Health Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1144236571
  Care Compare affiliation
• Integris Canadian Valley Hospital

  • General Acute Care Hospital
  • Yukon, OK
  • NPI 1306865357
  Care Compare affiliation
• Integris Health Edmond, Inc

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1720373103
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1609833565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "405-552-5165",
            "fax_number": "405-949-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY FL 2",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-949-3417",
            "fax_number": "405-552-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOM",
        "first_name": "VANCE",
        "middle_name": "EDMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OK",
            "license": "17658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kahner Jane McClure
• Kevin Dawayne McClure, P.T.
• Sally Jesselynn McCluskey
• Klara Ann McCoin
• Brendon Dean McCollom, DO
• C Neal McCollum, D.O.
• George Eddie McCollum, RPH
• Kendall Jean McCombs
• Robert Mason McConathy, M.D.
• Adam Fields McConnell, M.D.

• Vascular & Interventional Radiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Vascular & Interventional Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.