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CHARLES BLAGOVICH
NPI 1053763334
Nurse Practitioner - Family in Tulsa, OK

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
6600 S YALE AVE, TULSA, OK 74136(740) 505-7569 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Blagovich NPPES

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

CHARLES BLAGOVICH (NPI 1053763334) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (121198) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053763334
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES BLAGOVICH
Location Address6600 S YALE AVETulsa, OK 74136-3347
Mailing Address6600 S Yale AveTulsa, OK 74136-3347 · (740) 505-7569
Phone(740) 505-7569
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 11, 2016
✔ NPI 1053763334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 121198
6600 S YALE AVE, Tulsa, OK 74136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Charles Blagovich 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 ID244527596
PECOS Enrollment IDI20160929002245
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 74136 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.

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.

KATHLEEN HALBROOK C.S.F.A
Specialist/Technologist, Other (Surgical Assistant)
6600 S YALE AVE, SUITE 500
TULSA, OK 74136
Tulsa County (918) 855-3721
GERARD J MCNULTY M.D.
Internal Medicine
6600 S YALE AVE, STE 900
TULSA, OK 74136
Tulsa County (918) 481-4944
MICHAEL E MADDOX D.O.
Family Medicine
6600 S YALE AVE, STE 850
TULSA, OK 74136
Tulsa County (918) 481-7700
MELISSA R GRAY PT
Physical Therapist
6600 S YALE AVE, SUITE 200
TULSA, OK 74136
Tulsa County (918) 488-6888
CHRISTOPHER WAYNE ABSHERE MD
Family Medicine
6600 S YALE AVE, STE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001
DR. MOUTASIM HOMOD AL-SHAER M. D.
Hospitalist
6600 S YALE AVE, SUITE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001
WARREN CLINIC INC
General Practice
6600 S YALE AVE, SUITE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001
CATHEY COLBURN CDE
Nutritionist (Nutrition, Education)
6600 S YALE AVE, STE 700
TULSA, OK 74136
Tulsa County (918) 491-3939

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 Charles Blagovich's NPI number?

The NPI number for Charles Blagovich is 1053763334. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Charles Blagovich located?

Charles Blagovich practices at 6600 S Yale Ave, Tulsa, OK 74136. The listed phone number is (740) 505-7569.

What is Charles Blagovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Blagovich enrolled in Medicare?

Yes. Charles Blagovich 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 Charles Blagovich accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Charles Blagovich 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 Charles Blagovich was last updated on July 11, 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.