JOHN BARGHOLS MD
NPI 1033479761
Psychiatry & Neurology - Neurology in Oklahoma City, OK

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
4221 S WESTERN AVE, SUITE 5000, OKLAHOMA CITY, OK 73109(405) 644-5160(405) 644-5162 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Barghols Md NPPES

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

JOHN BARGHOLS MD (NPI 1033479761) is an individual neurology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (29292) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Integris Southwest Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2016).

NPPES Registry Identity

NPI1033479761
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOHN BARGHOLSCredential: MD
Location Address4221 S WESTERN AVE, SUITE 5000Oklahoma City, OK 73109-3447
Mailing Address4221 S Western Ave, Suite 5000Oklahoma City, OK 73109-3447 · (405) 644-5160 · Fax (405) 644-5162
Fax(405) 644-5162
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2016
Enumeration DateMay 29, 2012
Last NPPES UpdateJuly 13, 2016
NPI 1033479761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OK · 29292
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4221 S WESTERN AVE, Oklahoma City, OK 73109

Accepted 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

John Barghols 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 ID4486949971
PECOS Enrollment IDI20160823001607
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.

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
110 services108 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.
97 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
80 services80 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
46 services44 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

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

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

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.

Internal Medicine (Nephrology)
4221 S WESTERN AVE, SUITE 5020
OKLAHOMA CITY, OK 73109
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Internal Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Family Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, 5000
OKLAHOMA CITY, OK 73109
Internal Medicine
4221 S WESTERN AVE, SUITE 3030
OKLAHOMA CITY, OK 73109
Psychiatry & Neurology (Neurology)
4221 S WESTERN AVE, SUITE 5000
OKLAHOMA CITY, OK 73109
Clinic/Center (Rehabilitation)
4221 S WESTERN AVE, SUITE 3010
OKLAHOMA CITY, OK 73109

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 John Barghols's NPI number?

The NPI number for John Barghols is 1033479761. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is John Barghols located?

John Barghols practices at 4221 S Western Ave Suite 5000, Oklahoma City, OK 73109. The listed phone number is (405) 644-5160.

What is John Barghols's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is John Barghols enrolled in Medicare?

Yes. John Barghols 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 John Barghols accept?

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

According to CMS data, John Barghols is affiliated with Integris Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for John Barghols was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.