Patrick Russell Gannon, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20652 Issued in OK

Practice address

1 E Clark Bass Blvd
Suite 210
McAlester, OK 74501-4209

Phone

(918) 421-6987

Fax

(918) 421-6698

NPI assigned

Apr 6, 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 7

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

Orthopedic Surgery

Education

Washington University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McAlester Medical Services LLCGroup PAC ID 9931139029, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McAlester Regional Health Center Home Health Home health agency, McAlester, OK, CCN 377090
• Mays Housecall Home Health of Antlers, LLC Home health agency, Antlers, OK, CCN 377187
• Compassion Home Care, Inc. Home health agency, Stigler, OK, CCN 377740
• McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.gannon@direct.mrhcok.com
• Direct secure messaging: pgannon138031@ahs.direct-ci.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.

• McAlester Medical Services, LLC

  • Internal Medicine Physician
  • McAlester, OK
  • NPI 1154317998

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• McAlester Regional Health Center Authority

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Medicare reassignment NPD
• Ghazi M. Rayan, MD, Inc.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1972807667
  NPD (past)
• Lawton Urology

  • Urology Physician
  • Lawton, OK
  • NPI 1760997092
  NPD (past)
• Warren Clinic McAlester Pediatrics

  • Pediatrics Physician
  • McAlester, OK
  • NPI 1700904398
  NPD (past)

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

• Compassion Home Care, Inc.

  • Home Health Agency
  • Stigler, OK
  • NPI 1891920211
  Care Compare affiliation
• Mays Housecall Home Health of Antlers, LLC

  • Home Health Agency
  • Antlers, OK
  • NPI 1629493366
  Care Compare affiliation
• McAlester Regional Health Center Authority

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Care Compare affiliation
• McAlester Regional Health Center Authority

  • Home Health Agency
  • McAlester, OK
  • NPI 1346344330
  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1790747426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "address_2": "FL 2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-579-2300",
            "fax_number": "918-579-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "address_2": "SUITE 210",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-421-6987",
            "fax_number": "918-421-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "PATRICK",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "20652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "74502A024",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION 1",
            "identifier": "G67583",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000176970A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "731310891006",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "1324230001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "731310891028",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0166707",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Jean Fuller, MS LADC/US
• Natalie Gabbard
• Stanley R. Gahring, M.D.
• Jason Gandhi, MD
• Brenda S. Gann
• Kevin James Garrison, APRN
• Magan Garrison
• Carol Lynn Garvin, LPC, LADC
• Courtney Shawn Gasowski
• Helen Renee Geddes, B.H.R.S.

• Orthopaedic Surgery Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.