NPIMap

Individual provider Active NPI

Corey E Ponder, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1982743787
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
22884 Issued in OK
Practice address
13401 N. Western Ave.
Ste. 301
Oklahoma City, OK 73114
Phone
(405) 478-7111
Fax
(405) 478-7112
NPI assigned
Feb 6, 2007
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 22884 OK
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 22884 OK Primary

Addresses

Primary practice location

13401 N. Western Ave.
Ste. 301
Oklahoma City, OK 73114

Mailing address

1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612
Phone (405) 218-2530

Other practice location 1

1110 N Lee Ave Ste 200
Oklahoma City, OK 73103-2612
Phone (405) 218-2530

Other identifiers 1

IdentifierTypeStateIssuer
1578658035OtherOKOKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE

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
I20090609000447 OK Practitioner - Orthopedic Surgery 5395844690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

1110 N Lee Ave
Oklahoma City, OK 73103-2612

13401 N Western Ave
Suite 302
Oklahoma City, OK 73114-1411
Phone (405) 272-6685

608 NW 9TH St
Oklahoma City, OK 73102-1049

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement65
Knee replacement274
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Orthopaedic Surgery CurrentSince Jan 26, 2020 Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 26, 2020 Accepting new patients
Saints Medical Group, LLC Orthopaedic Surgery PastSince Jun 1, 2020 Accepting new patients
Eagle Community Clinic LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
University of Utah Orthopedic Consultants Orthopaedic Surgery Past Accepting new patients

Locations

1110 N Lee Ave
Ste 200
Oklahoma City, OK 73103
Phone (405) 218-2530

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

1111 N Dewey Ave
Ste 200
Oklahoma City, OK 73103

13401 N Western Ave
Ste 301
Oklahoma City, OK 73114
Phone (405) 218-2530

3400 S Douglas Blvd
Ste 302
Oklahoma City, OK 73150
Phone (405) 272-2850

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

Interoperability endpoints

  • Direct secure messaging: cponder34753@direct-ehr-ssmhc.com

Organizations & group practices 8

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 10

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1982743787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N LEE AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032612",
            "telephone_number": "405-218-2530",
            "fax_number": "405-218-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N. WESTERN AVE.",
            "address_2": "STE. 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73114",
            "telephone_number": "405-478-7111",
            "fax_number": "405-478-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 N Lee Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731032612",
            "country_code": "US",
            "telephone_number": "405-218-2530",
            "fax_number": "405-218-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDER",
        "first_name": "COREY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "22884",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OK",
            "license": "22884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE",
            "identifier": "1578658035",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.