TRACY ADELLE KIDWELL D.O.
NPI 1033197496
Family Medicine in Midwest City, OK

Q: What is Tracy Kidwell's NPI number?

The NPI number for Tracy Kidwell is 1033197496. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Tracy Kidwell'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 Tracy Kidwell was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment

1800 S DOUGLAS BLVD, MIDWEST CITY, OK 73130(405) 741-7722(405) 741-7757 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2022, Aug 25, 2020 (2 updates tracked since 2020).

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About Tracy Adelle Kidwell D.o. NPPES

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

TRACY ADELLE KIDWELL D.O. (NPI 1033197496) is an individual family medicine provider in Midwest City, Oklahoma, licensed in Oklahoma (3809) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and maintains a secondary practice location in Shawnee.

NPPES Registry Identity

NPI1033197496

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTRACY ADELLE KIDWELLCredential: D.O.

Location Address1800 S DOUGLAS BLVDMidwest City, OK 73130-6224

Mailing Address1800 S Douglas BlvdMidwest City, OK 73130-6224

Phone(405) 741-7722

Fax(405) 741-7757

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJanuary 5, 2006

Last NPPES UpdateJune 10, 20222 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1033197496 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 · 3809

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.

1800 S DOUGLAS BLVD, Midwest City, OK 73130

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Secondary Practice Location 1

Location 13700 N Kickapoo Ave, Suite 124Shawnee, OK 74804-1707 · Phone (405) 273-6383 · Fax (405) 214-1074

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Tracy Adelle Kidwell D.o. 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 ID4183790587

PECOS Enrollment IDI20120829000077

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 15

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

204 services125 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

177 services177 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.

166 services166 patients

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.

139 services117 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.

39 services39 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

38 services19 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

37 services37 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

26 services26 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

23 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

19 services19 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services14 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73130 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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

53%302 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

39%534 patients2/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

45%164 patients2/55-star benchmark: 100%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

39%909 patients2/55-star benchmark: 88%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

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

7 suppliers13 claims28 services$6.27 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers13 claims13 services$34.00 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers11 claims11 services$65.27 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers14 claims14 services$12.29 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

10 suppliers23 claims115 services$1.81 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

1 supplier11 claims11 services$12.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

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

DR. JOSEPH HAMATI M.D.

Anesthesiology

1800 S DOUGLAS BLVD
MIDWEST CITY, OK 73130

Oklahoma County (405) 741-7722

JENNIFER KENNEDY APRN CPNP

Nurse Practitioner (Pediatrics)

1800 S DOUGLAS BLVD
MIDWEST CITY, OK 73130

Oklahoma County (405) 741-7722

MRS. VENETTA ANN GIRARDI APRN, NP-C

Nurse Practitioner (Family)

1800 S DOUGLAS BLVD
MIDWEST CITY, OK 73130

Oklahoma County (405) 733-4985

MRS. ROBIN N AVERY ARNP

Nurse Practitioner (Family)

1800 S DOUGLAS BLVD
MIDWEST CITY, OK 73130

Oklahoma County (405) 732-7119

ROSEMARY ANN FOUTS ARNP

Nurse Practitioner

1800 S DOUGLAS BLVD
MIDWEST CITY, OK 73130

Oklahoma County (405) 733-4985

RENAISSANCE PHYSICIANS OF MIDWEST CITY LLC

Obstetrics & Gynecology

1800 S DOUGLAS BLVD
MIDWEST CITY, OK 73130

Oklahoma County (405) 733-4985

ANDREW MARTIN BROSELOW MD

Obstetrics & Gynecology

1800 S DOUGLAS BLVD, RENAISSANCE OB/GYN
MIDWEST CITY, OK 73130

Oklahoma County (405) 733-4985

THOMAS ROY BRYANT M.D.

Obstetrics & Gynecology

1800 S DOUGLAS BLVD
MIDWEST CITY, OK 73130

Oklahoma County (405) 733-4985

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 Tracy Kidwell's NPI number?

The NPI number for Tracy Kidwell is 1033197496. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Tracy Kidwell located?

Tracy Kidwell practices at 1800 S Douglas Blvd, Midwest City, OK 73130. The listed phone number is (405) 741-7722.

What is Tracy Kidwell's specialty?

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

Is Tracy Kidwell enrolled in Medicare?

Yes. Tracy Kidwell 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 Tracy Kidwell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tracy Kidwell 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 Tracy Kidwell affiliated with any hospitals?

According to CMS data, Tracy Kidwell is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, O U Medical Center, Ssm Health St Anthony Hospital - Midwest and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Tracy Kidwell was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.