1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Internal Medicine
  6. NPI Profile

TODD CLAPP MD
NPI 1013958321
Internal Medicine in Oklahoma City, OK

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
4221 S WESTERN AVE, SUITE 3030, OKLAHOMA CITY, OK 73109(405) 636-7650(405) 636-7743 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2017, Feb 3, 2016 (2 updates tracked since 2016).

About Todd Clapp Md NPPES

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

TODD CLAPP MD (NPI 1013958321) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (22705) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of Oklahoma College Of Medicine (1995).

NPPES Registry Identity

NPI1013958321
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTODD CLAPPCredential: MD
Location Address4221 S WESTERN AVE, SUITE 3030Oklahoma City, OK 73109-3447
Mailing Address5300 N Independence Ave, Suite 280Oklahoma City, OK 73112-5556 · (405) 636-7650 · Fax (405) 636-7743
Phone(405) 636-7650
Fax(405) 636-7743
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1995
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 10, 20172 updates tracked since enumeration
✔ NPI 1013958321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 22705
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4221 S WESTERN AVE, Oklahoma City, OK 73109
Open in Google Maps ↗

Other Identifiers 5

Medicaid100845710BOK
Medicare PIN243435206OK
Medicaid100845710COK
Medicare UPINH09454OK
Medicare ID-Type Unspecified900522214OK · Medicare Group Number

Accepted Insurance

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

Todd Clapp Md 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 ID9830156199
PECOS Enrollment IDI20041217000662
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
462 services184 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
79 services79 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
70 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
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 G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Integris Canadian Valley Hospital

Acute Care Hospitals · Yukon, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370211
Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Referred Medical Equipment & Supplies CMS DME claims 11

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
17 suppliers44 claims113 services$6.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims27 services$1.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers23 claims23 services$33.77 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers15 claims84 services$13.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers24 claims24 services$46.04 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers19 claims19 services$15.30 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 20

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

FAZAL AKBAR ALI MD
Internal Medicine (Nephrology)
4221 S WESTERN AVE, SUITE 5020
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5428
LANE E. TINSLEY, MD, PLLC
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160
JOHN BARGHOLS MD
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160
MICHAEL MORGAN MD
Family Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7650
JOSHUA KERSHEN MD PC
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160
SHIRIN N MOHAMMAD MD
Internal Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7650
CHARLES MORGAN MD PC
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 644-5160
SOUTHWEST REHABILITATION
Clinic/Center (Rehabilitation)
4221 S WESTERN AVE, SUITE 3010
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 636-7452

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 Todd Clapp's NPI number?

The NPI number for Todd Clapp is 1013958321. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Todd Clapp located?

Todd Clapp practices at 4221 S Western Ave Suite 3030, Oklahoma City, OK 73109. The listed phone number is (405) 636-7650.

What is Todd Clapp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Todd Clapp enrolled in Medicare?

Yes. Todd Clapp 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 Todd Clapp accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Todd Clapp 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 Todd Clapp affiliated with any hospitals?

According to CMS data, Todd Clapp is affiliated with Integris Baptist Medical Center, Inc, O U Medical Center, Integris Southwest Medical Center and Integris Canadian Valley Hospital.

When was this NPI record last updated?

The NPPES record for Todd Clapp was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.