Stormy Ray Walkup, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6273 Issued in OK

Practice address

1302 S Lynn LN
Idabel, OK 74745-6860

Phone

(580) 286-3993

Fax

(580) 286-3967

NPI assigned

Mar 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walkup Family Medicine Clinic LLC 2 clinicians

Elite Integral Staffing LLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mays Housecall Home Health of South East Ok, LLC Home health agency, Idabel, OK, CCN 377169
• Rainbow Home Health, Inc Home health agency, Antlers, OK, CCN 377630
• Alliancehealth Durant Hospital, Durant, OK, CCN 370014
• McCurtain Memorial Hospital Hospital, Idabel, OK, CCN 371342
• Alliancehealth Madill Hospital, Madill, OK, CCN 371326

Merit-based Incentive Payment System (MIPS)

Final score

88.18 of 100Reported as apm

Quality

71.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFHDCD

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.

• Walkup Family Medicine Clinic LLC

  • Primary Care Clinic/Center
  • Idabel, OK
  • NPI 1508461856

  OK

  Medicare reassignment Care Compare group NPD Authorized official
• Elite Integral Staffing LLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1609648062

  Emergency Medicine, OK

  Medicare reassignment Care Compare group NPD
• Durant Hma Physician Management, LLC

  • Internal Medicine Physician
  • Durant, OK
  • NPI 1043361116

  OK

  Medicare reassignment NPD
• Nes Oklahoma, Inc.

  • Emergency Medicine Physician
  • Ponca City, OK
  • NPI 1528040722

  Emergency Medicine, OK

  Medicare reassignment NPD
• Durant Hma LLC

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  NPD (past)
• Marshall County Hma, LLC

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556
  NPD (past)
• McCurtain Memorial Medical Management, Inc.

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Durant Hma LLC

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906

  Hospital

  Care Compare affiliation
• Marshall County Hma, LLC

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556

  Hospital

  Care Compare affiliation
• Mays Housecall Home Health of South East Ok, LLC

  • Home Health Agency
  • Idabel, OK
  • NPI 1275023756
  Care Compare affiliation
• McCurtain Memorial Medical Management, Inc.

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975

  Hospital

  Care Compare affiliation
• Rainbow Home Health, Inc

  • Home Health Agency
  • Antlers, OK
  • NPI 1831242916
  Care Compare affiliation

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1710428958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456860",
            "telephone_number": "805-286-3993",
            "fax_number": "580-286-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S LYNN LN",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456860",
            "telephone_number": "580-286-3993",
            "fax_number": "580-286-3967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Idabel",
            "state": "OK",
            "postal_code": "747457300",
            "country_code": "US",
            "telephone_number": "580-286-7623",
            "fax_number": "580-208-3199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013094",
            "country_code": "US",
            "telephone_number": "580-924-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKUP",
        "first_name": "STORMY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6273",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "6273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200730970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ultimate Home Care Services, LLC
• Vamana, Inc.
• Wal-Mart Stores East LP
• Natausha Shauntrece Walker, FNP-C
• Walkup Family Medicine Clinic LLC
• Terry Eugene Wallace, CADC
• Jon Christopher Webb, M.D.
• Michael Curtis West Jr., MD
• Gina Lynn Whisenhunt, LBP
• White River Home Health

• All providers in Idabel, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.