Active NPI
Derek M Matheson, DO
- Internal Medicine Physician
- Owasso, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4359
- Practice address
- 11402 N 135TH East Ave
Owasso, OK 74055-5701 - Phone
- (918) 331-1089
- Fax
- (918) 331-1823
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4359 | OK | Primary |
Addresses
Primary practice location
11402 N 135TH East Ave
Owasso, OK 74055-5701
Mailing address
11402 N 135TH East Ave
Owasso, OK 74055-5701
Phone (918) 212-7373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
11402 N 135TH E Ave
Owasso, OK 74055-5701
Phone (918) 212-7373
19600 E Ross St
CN Outpatient Health Center
Tahlequah, OK 74464-0545
Phone (918) 458-3100
Hospital & facility affiliations
- Enhabit Home Health of Northeast Oklahoma
- Elara Caring XXV
- Compassus - Muskogee
- Compassus - Vinita
- Cherokee Nation W W Hastings Indian Hospital
- Bailey Medical Center, LLC
- Hillcrest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4359 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Omni Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Internal Medicine | Current | Accepting new patients |
| Cherokee Nation | Past | Accepting new patients |
Locations
226 SE Debell Ave
Bldg A
Bartlesville, OK 74006
Phone (918) 333-7200
3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
11402 N 135th East Ave
Owasso, OK 74055
Phone (918) 212-7373
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 1467
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Dept 1038
Tulsa, OK 74182
Dept 1206
Tulsa, OK 74182
Dept 2269
Tulsa, OK 74182
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- derek.matheson@direct.stjohnhealthsystem.com
- dmatheson561196@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- dmatheson20473@muscogeecreeknation.direct-ci.com
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Internal Medicine
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1174578249
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Clinic/Center
- Jenks, OK
- NPI 1699375998
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1205846037
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1407836760
-
- Community Based Hospice Care Agency
- Muskogee, OK
- NPI 1366855520
-
- Community Based Hospice Care Agency
- Vinita, OK
- NPI 1568875722
-
- Home Health Agency
- Tulsa, OK
- NPI 1437164969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1780765719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11402 N 135TH EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555701",
"telephone_number": "918-212-7373",
"fax_number": "918-550-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11402 N 135TH EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555701",
"telephone_number": "918-331-1089",
"fax_number": "918-331-1823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHESON",
"first_name": "DEREK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "4359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.