Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOUGLAS JOHN IVINS MD
NPI 1023080090
Family Medicine in Tulsa, OK

Q: What is Douglas Ivins's NPI number?

The NPI number for Douglas Ivins is 1023080090. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Douglas Ivins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Ivins was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since February 03, 2006PECOS Enrolled

1111 S ST LOUIS AVE, TULSA, OK 74120(918) 619-4600(918) 619-4601 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Douglas John Ivins Md NPPES

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

DOUGLAS JOHN IVINS MD (NPI 1023080090) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (23164) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023080090

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDOUGLAS JOHN IVINSCredential: MD

Location Address1111 S ST LOUIS AVETulsa, OK 74120

Mailing AddressPo Box 268838Oklahoma City, OK 73126-8838 · (918) 660-3632 · Fax (918) 660-3631

Phone(918) 619-4600

Fax(918) 619-4601

Sole ProprietorNo

Enumeration DateFebruary 3, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1023080090 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 · 23164

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.

1111 S ST LOUIS AVE, Tulsa, OK 74120

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Other Identifiers 1

Medicaid20001760COK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas John Ivins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74120 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.

Other Providers at the Same Location NPPES 5

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

LOUIS EDGAR MULKEY DO

Family Medicine