Office listed in NPPES
921 14Th Ave Nw, Ardmore, OK 73401
5802235311
Confirm this address and number with the practice. Registry information may be outdated.
Physician registry profile
MD · Ardmore, OK
921 14Th Ave Nw, Ardmore, OK 73401
5802235311
Confirm this address and number with the practice. Registry information may be outdated.
Confirm current services, ages treated, insurance, location, hospital affiliations and appointment availability directly with the practice. An active NPI does not verify current licensure, certification or practice status.
A registry specialty label does not establish that a clinician currently provides the particular care you need.
Reporting year: 2024. These are billed services or units in Original Medicare Part B, not total career experience, all patients, surgical case counts or a quality rating.
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| HCPCS | Billed services / units | Beneficiaries in this row | Service description (English) | Billing setting |
|---|---|---|---|---|
| 71046 | 53 | 48 | X-ray of chest, 2 views | Non-facility |
| 72110 | 14 | 14 | X-ray of lower and sacral spine, minimum of 4 views | Non-facility |
| 87428 | 17 | 16 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | Non-facility |
| 87430 | 13 | 12 | Detection test by immunoassay technique for streptococcus, group a (strep) | Non-facility |
| 96372 | 82 | 22 | Injection of drug or substance under skin or into muscle | Non-facility |
| 99203 | 27 | 27 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Non-facility |
| 99213 | 23 | 22 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Non-facility |
| 99214 | 1,349 | 601 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Non-facility |
| G0008 | 171 | 169 | Administration of influenza virus vaccine | Non-facility |
| G0009 | 42 | 42 | Administration of pneumococcal vaccine | Non-facility |
| G0179 | 149 | 58 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | Non-facility |
| G0180 | 75 | 62 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Non-facility |
| G0402 | 11 | 11 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | Non-facility |
| G0438 | 12 | 12 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | Non-facility |
| G0439 | 397 | 397 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Non-facility |
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| HCPCS | Billed services / units | Beneficiaries in this row | Service description (English) | Billing setting |
|---|---|---|---|---|
| G2211 | 425 | 310 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Non-facility |
Drug units follow the billing-code definition. They are not the number of treatments, visits, doses or unique patients.
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| HCPCS | Drug billing units | Beneficiaries in this row | Service description (English) | Billing setting |
|---|---|---|---|---|
| 90662 | 161 | 159 | Influenza vaccine split virus, preservative free | Non-facility |
| 90677 | 42 | 42 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Non-facility |
CMS suppresses provider/service rows involving fewer than 11 beneficiaries. Services may repeat for one person, and beneficiaries cannot be added across rows. Facility/non-facility describes billing and does not establish a current hospital affiliation. These counts do not report case complexity, clinical outcomes or whether a treatment is appropriate for you.
Exact CMS source rows for this NPI · Checked 2026-11-03