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DR. MIGUEL RAY SABEDRA M.D.
NPI 1003881921
Family Medicine in Marlow, OK

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
501 N 4TH ST, MARLOW, OK 73055(580) 658-6679(580) 658-8021 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2023, Mar 7, 2023, Dec 5, 2018 (3 updates tracked since 2018).

About Dr. Miguel Ray Sabedra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIGUEL RAY SABEDRA M.D. (NPI 1003881921) is an individual family medicine provider in Marlow, Oklahoma, licensed in Oklahoma (17353) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Duncan Regional Hospital, Inc, and is a graduate of University Of Minnesota Medical School (1987).

NPPES Registry Identity

NPI1003881921
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIGUEL RAY SABEDRACredential: M.D.
Location Address501 N 4TH STMarlow, OK 73055-1807
Mailing Address501n 4th StMarlow, OK 73055-1807 · (580) 658-3203 · Fax (580) 658-8026
Phone(580) 658-6679
Fax(580) 658-8021
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1987
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1003881921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 17353
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

501 N 4TH ST, Marlow, OK 73055
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Other Identifiers 2

Medicaid100131510AOK
OtherOK17356OK · Oklahoma State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miguel Ray Sabedra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355408824
PECOS Enrollment IDI20090327000221
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
293 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
192 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services87 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
78 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370023
Location2621 Whisenant DrDuncan, OK 73533 · Stephens County
Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Jefferson County Hospital

Critical Access Hospitals · Waurika, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371311
LocationIntersection Hyws 81 & 70Waurika, OK 73573 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers40 claims80 services$5.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier13 claims13 services$119.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier15 claims30 services$3.01 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims306 services$3.99 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers12 claims12 services$56.45 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims28 services$19.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUNCAN REGIONAL HOSPITAL, INC
Clinic/Center (Rural Health)
501 N 4TH ST
MARLOW, OK 73055
Stephens County (580) 658-6679
MARLOW PHYSICIANS CLINIC
Family Medicine
501 N 4TH ST
MARLOW, OK 73055
Stephens County (580) 658-3203
MIGUEL SABEDRA PLLC
Family Medicine
501 N 4TH ST
MARLOW, OK 73055
Stephens County (580) 658-3203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Sabedra's NPI number?

The NPI number for Miguel Sabedra is 1003881921. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Miguel Sabedra located?

Miguel Sabedra practices at 501 N 4th St, Marlow, OK 73055. The listed phone number is (580) 658-6679.

What is Miguel Sabedra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miguel Sabedra enrolled in Medicare?

Yes. Miguel Sabedra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Miguel Sabedra accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Miguel Sabedra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Miguel Sabedra affiliated with any hospitals?

According to CMS data, Miguel Sabedra is affiliated with Duncan Regional Hospital, Inc, Comanche County Memorial Hospital and Jefferson County Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Sabedra was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.