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DR. DEREK JAMES POURTORKAN DO
NPI 1033601810
Family Medicine in Edmond, OK

Active since June 06, 2018PECOS Enrolled
77.69/100
CMS Quality Rating
2916 N KELLY AVE, EDMOND, OK 73003(405) 715-5300(405) 715-5350 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Derek James Pourtorkan Do NPPES

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

DR. DEREK JAMES POURTORKAN DO (NPI 1033601810) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (6732) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033601810
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DEREK JAMES POURTORKANCredential: DO
Location Address2916 N KELLY AVEEdmond, OK 73003-3233
Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 713-5300 · Fax (405) 715-5350
Phone(405) 715-5300
Fax(405) 715-5350
Sole ProprietorNo
Enumeration DateJune 6, 2018
Last NPPES UpdateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1033601810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 6732
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2916 N KELLY AVE, Edmond, OK 73003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek James Pourtorkan Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Derek Pourtorkan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integris Ambulatory Care Corporation
6.4 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73003 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.

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 5

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

BRYANT ALEXANDER PIERCE MD
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
JOEL S. GRUBBS DO
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
MRS. BRITTANY FAITH CABRERA PA-C
Physician Assistant
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
DR. JORDEN DANIEL POPE DO
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
JOANNA BARTHOLOMEW D.O.
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300

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 Derek Pourtorkan's NPI number?

The NPI number for Derek Pourtorkan is 1033601810. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Derek Pourtorkan located?

Derek Pourtorkan practices at 2916 N Kelly Ave, Edmond, OK 73003. The listed phone number is (405) 715-5300.

What is Derek Pourtorkan's specialty?

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

Is Derek Pourtorkan enrolled in Medicare?

Yes. Derek Pourtorkan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derek Pourtorkan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Pourtorkan reassigns Medicare benefits to Integris Ambulatory Care Corporation (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Pourtorkan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Derek Pourtorkan was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.