Perry William Evans Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1856 Issued in OK

Practice address

119 S Broadway St
Cleveland, OK 74020-4614

Phone

(918) 358-2592

Fax

(918) 358-3133

NPI assigned

Nov 9, 2005

Last updated

Mar 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Kansas City College of Medicine and Surgery, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osumc Professional Services LLCGroup PAC ID 9234254012, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Area Hospital Hospital, Cleveland, OK, CCN 371320
• Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078
• Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Merit-based Incentive Payment System (MIPS)

Final score

87.8 of 100Reported as group

Quality

81.62

Promoting interoperability

99

Improvement activities

40

Cost

72.28

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pevans228288@direct.saintfrancis.com

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.

• Osumc Professional Services LLC

  dba OSU Medical Group

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1922325992

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Perry W Evans Jr DO PC

  • Family Medicine Physician
  • Cleveland, OK
  • NPI 1124331475
  Authorized official Same address or phone

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

• Cleveland Area Hospital Holdings, Inc.

  dba Cleveland Area Hospital

  • Critical Access Hospital
  • Cleveland, OK
  • NPI 1427295872
  Care Compare affiliation
• Oklahoma State University Medical Trust

  dba Oklahoma State University Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1003039488
  Care Compare affiliation
• Saint Francis Hospital, Inc.

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1144228487
  Care Compare affiliation

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1942281688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204614",
            "telephone_number": "918-358-2592",
            "fax_number": "918-358-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204614",
            "telephone_number": "918-358-2592",
            "fax_number": "918-358-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PERRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwight Turner DDS PC
• Adrian Dean Eddings
• Cheyenne Eddings
• Lisa Elledge, LCSW
• Envision Therapies LLC
• Selina Susanne Factor
• Olivia Grace Farrow, LMSW-P U/S
• Elizabeth Edison Fielding, PT
• Gregory Allen Fielding, OD
• Jacqueline Fields

• Family Medicine Physician in Cleveland, OK
• Providers in Cleveland, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.