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DR. CANON COTHRAN MD
NPI 1023848090
Internal Medicine in Oklahoma City, OK

Active since August 05, 2024PECOS Enrolled
800 STANTON L YOUNG BLVD # 6300, OKLAHOMA CITY, OK 73104(405) 271-5963 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Aug 5, 2024 (2 updates tracked since 2024).

About Dr. Canon Cothran Md NPPES

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

DR. CANON COTHRAN MD (NPI 1023848090) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45825) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023848090
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CANON COTHRANCredential: MD
Location Address800 STANTON L YOUNG BLVD # 6300Oklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young BlvdOklahoma City, OK 73104-5018
Phone(405) 271-5963
Sole ProprietorNo
Enumeration DateAugust 5, 2024
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1023848090 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 · 45825
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.
800 STANTON L YOUNG BLVD # 6300, Oklahoma City, OK 73104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Canon Cothran 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 73104 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.

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.

JEHANZEB AHMED KHAN MBBS
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 388-8233
CAMERON MARSHALL KIRKENDOLL MD
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
SARAH ARIEL ATKINS
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
DR. SAMUEL ROBERT PAGELS MD
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
DR. CAMERON ANZEL DO
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
YUSRA MINAHIL NASIR MD
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
RYAN MCKENNA TIERNEY MD
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
DR. KHAWAJA HASSAN AKHTAR MD
Internal Medicine
800 STANTON L YOUNG BLVD # 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963

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 Canon Cothran's NPI number?

The NPI number for Canon Cothran is 1023848090. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Canon Cothran located?

Canon Cothran practices at 800 Stanton L Young Blvd # 6300, Oklahoma City, OK 73104. The listed phone number is (405) 271-5963.

What is Canon Cothran's specialty?

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

Is Canon Cothran enrolled in Medicare?

Yes. Canon Cothran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Canon Cothran was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.