NPIMap

Individual provider Active NPI

Donald M Elgin, MD

  • Family Medicine Physician
  • Fort Gibson, OK
National Provider Identifier
1790892529
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11727 Issued in OK
Practice address
104 Lone Oak Circle
Ft. Gibson, OK 74434
Phone
(918) 478-2101
Fax
(918) 478-6008
NPI assigned
Aug 25, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11727 OK Primary
Adult Medicine Physician 207QA0505X 11727 OK

Addresses

Primary practice location

104 Lone Oak Circle
Ft. Gibson, OK 74434

Mailing address

PO Box 1008
Tahlequah, OK 74465-1008
Phone (918) 478-2101

Other identifiers 3

IdentifierTypeStateIssuer
80161083OtherOKRR MEDICARE
107709001OtherOKDMERC
100123270AMedicaidOK

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
I20031107000698 OK Practitioner - Family Practice 4486567237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahlequah Medical Group LLCGroup PAC ID 4082861349, 16 clinicians
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

104 Lone Oak Circle
Ft Gibson Medical
Ft Gibson, OK 74434-5001
Phone (918) 478-2101

1373 E Boone St
Tahlequah, OK 74464-3365

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

1500 E Downing St
Suite 103
Tahlequah, OK 74464-3354
Phone (918) 207-1410

205 Harris Cir
Tahlequah, OK 74464-8849
Phone (918) 456-0641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11727OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System Current Accepting new patients
Tahlequah Medical Group LLC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Northeastern Health System Past Accepting new patients
Muskogee Immediate Care Inc Past Accepting new patients

Locations

1120 Illinois St
Muskogee, OK 74403
Phone (918) 682-5391

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Hospice CareMuskogee, OK, CCN 371710 Hospice Contracted Managing Employee (100%) Mar 23, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1790892529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651008",
            "telephone_number": "918-478-2101",
            "fax_number": "918-478-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LONE OAK CIRCLE",
            "city": "FT. GIBSON",
            "state": "OK",
            "postal_code": "74434",
            "telephone_number": "918-478-2101",
            "fax_number": "918-478-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIN",
        "first_name": "DONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-09-29",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "11727",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OK",
            "license": "11727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "80161083",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "107709001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gibson, OK

Sources for this page

Verify at the official NPI Registry.