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DANIEL PAPPAS M.D.
NPI 1053762807
Psychiatry & Neurology - Psychiatry in Edmond, OK

Active since June 23, 2016PECOS Enrolled
91.35/100
CMS Quality Rating
15225 FAIRVIEW FARM RD., EDMOND, OK 73013(405) 627-5837 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Pappas M.d. NPPES

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

DANIEL PAPPAS M.D. (NPI 1053762807) is an individual psychiatry provider in Edmond, Oklahoma, licensed in Oklahoma (39020000X) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053762807
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDANIEL PAPPASCredential: M.D.
Location Address15225 FAIRVIEW FARM RD.Edmond, OK 73013
Mailing Address15225 Fairview Farm RdEdmond, OK 73013-1328
Phone(405) 627-5837
Sole ProprietorYes
Enumeration DateJune 23, 2016
✔ NPI 1053762807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OK · 39020000X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
15225 FAIRVIEW FARM RD., Edmond, OK 73013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Daniel Pappas M.d. 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.

Areas of Expertise CMS Part B claims 3

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 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.
182 services42 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
41 services20 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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 Daniel Pappas's NPI number?

The NPI number for Daniel Pappas is 1053762807. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Daniel Pappas located?

Daniel Pappas practices at 15225 Fairview Farm Rd., Edmond, OK 73013. The listed phone number is (405) 627-5837.

What is Daniel Pappas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Daniel Pappas enrolled in Medicare?

Yes. Daniel Pappas is registered in the Medicare PECOS enrollment system.

What insurance does Daniel Pappas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Providence Health Plan list Daniel Pappas 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.

When was this NPI record last updated?

The NPPES record for Daniel Pappas was last updated on June 23, 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.