Active NPI
Matt Morey Blankenship, M.D.
- Gastroenterology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 22457
- Practice address
- 10507 E 91St St
270
Tulsa, OK 74133-5589 - Phone
- (918) 307-5480
- Fax
- (918) 307-5481
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 22457 | OK | Primary |
Addresses
Primary practice location
10507 E 91St St
270
Tulsa, OK 74133-5589
Mailing address
PO Box 305
Lowell, AR 72745-0305
Phone (918) 481-4706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200112540A | Medicaid | OK |
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
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- 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
4150 SE Adams Rd
Bartlesville, OK 74006-8410
Phone (918) 438-7050
Hospital & facility affiliations
- Oklahoma Surgical Hospital, LLC
- Saint Francis Hospital, Inc
- Cherokee Nation W W Hastings Indian Hospital
- Saint Francis Hospital South, LLC
- Muscogee (Creek) Nation Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 75.14
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 74.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 218 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 238 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22457 | OK | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Gastroenterology | 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 | |
| Stillwater Medical Center Authority | Gastroenterology | Current | Accepting new patients |
| Adult Gastroenterology Associates Inc | Gastroenterology | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Oklahoma Surgical Hospital, LLC | Past | Accepting new patients |
Locations
4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979
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
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
4200 E Skelly Dr
Ste 700
Tulsa, OK 74135
Phone (918) 438-7050
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
10507 E 91st St
Ste 270
Tulsa, OK 74133
Phone (918) 307-5480
Dept 1038
Tulsa, OK 74182
Dept 1467
Tulsa, OK 74182
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/
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.
-
- Gastroenterology Physician
- Tulsa, OK
- NPI 1306884812
-
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
Gastroenterology, TX
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
Gastroenterology
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1033511480
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1902236573
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1902950165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "LOWELL",
"state": "AR",
"postal_code": "727450305",
"telephone_number": "918-481-4706",
"fax_number": "918-481-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10507 E 91ST ST",
"address_2": "270",
"city": "TULSA",
"state": "OK",
"postal_code": "741335589",
"telephone_number": "918-307-5480",
"fax_number": "918-307-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "MATT",
"middle_name": "MOREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "22457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200112540A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.