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DR. DAVID LEWIS HADLEY M.D.
NPI 1023070679
Family Medicine in Shawnee, OK

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
96.93/100
CMS Quality Rating
1920 N BROADWAY AVE, SHAWNEE, OK 74804(405) 273-7879(405) 273-7885 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Lewis Hadley M.d. NPPES

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

DR. DAVID LEWIS HADLEY M.D. (NPI 1023070679) is an individual family medicine provider in Shawnee, Oklahoma, licensed in Oklahoma (18911) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Texas Medical School At Houston (1993).

NPPES Registry Identity

NPI1023070679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID LEWIS HADLEYCredential: M.D.
Location Address1920 N BROADWAY AVEShawnee, OK 74804-3722
Mailing Address1920 N Broadway AveShawnee, OK 74804-3722 · (405) 924-0938 · Fax (405) 703-5639
Phone(405) 273-7879
Fax(405) 273-7885
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1993
Enumeration DateApril 6, 2006
Last NPPES UpdateApril 26, 2017
✔ NPI 1023070679 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 · 18911
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.
1920 N BROADWAY AVE, Shawnee, OK 74804
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Other Identifiers 4

Medicaid100164890AOK
Medicare ID-Type Unspecified242412502OK
Medicare UPINF88669OK
Medicare PIN249726402OK

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. David Lewis Hadley 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 ID8527951961
PECOS Enrollment IDI20040504000347
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 7

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 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.
398 services216 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.
220 services211 patients
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.
165 services117 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.
94 services93 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.
73 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Prague Regional Memorial Hospital

Critical Access Hospitals · Prague, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number371301
Location1322 Klabzuba AvenuePrague, OK 74864 · Lincoln County
Emergency services

Creek Nation Community Hospital

Critical Access Hospitals · Okemah, OK
OwnershipTribal
CMS Certification Number371333
Location1800 E CoplinOkemah, OK 74859 · Okfuskee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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.

96.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Promoting Interoperability100
Improvement Activities40
Cost99.31

Referred Medical Equipment & Supplies CMS DME claims 5

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims488 services$20.36 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims144 services$8.76 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$66.90 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
5 suppliers92 claims98 services$18.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers91 claims98 services$101.86 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

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

HADLEY HEALTH SERVICES LLC
Family Medicine
1920 N BROADWAY AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 924-0938

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 David Hadley's NPI number?

The NPI number for David Hadley is 1023070679. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is David Hadley located?

David Hadley practices at 1920 N Broadway Ave, Shawnee, OK 74804. The listed phone number is (405) 273-7879.

What is David Hadley's specialty?

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

Is David Hadley enrolled in Medicare?

Yes. David Hadley 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 David Hadley accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list David Hadley 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 David Hadley affiliated with any hospitals?

According to CMS data, David Hadley is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Ssm Health St Anthony Hospital - Midwest, Ssm Health St Anthony Hospital - Shawnee, Prague Regional Memorial Hospital and Creek Nation Community Hospital.

When was this NPI record last updated?

The NPPES record for David Hadley was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.