KACEY MCCONNELL DO
NPI 1063890242
Internal Medicine in Tulsa, OK
About Kacey Mcconnell Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KACEY MCCONNELL DO (NPI 1063890242) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (6025) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kacey Mcconnell Do 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kacey Mcconnell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 210 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 300 clinicians in this Medicare group
Broken Arrow, OK 74012
- Reassigned Medicare billing, Oklahoma enrollment
- 48 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Oklahoma enrollment
- 284 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Jane Phillips
Acute Care Hospitals · Bartlesville, OKAscension St John Medical Center
Acute Care Hospitals · Tulsa, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
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 Kacey Mcconnell's NPI number?
The NPI number for Kacey Mcconnell is 1063890242. It was assigned to this individual provider in the NPPES registry on May 8, 2015. The provider is also known as Kacey Freeman D.O..
Where is Kacey Mcconnell located?
Kacey Mcconnell practices at 1923 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 634-7691.
What is Kacey Mcconnell's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kacey Mcconnell enrolled in Medicare?
Yes. Kacey Mcconnell 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.
Which organizations bill Medicare for Kacey Mcconnell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kacey Mcconnell reassigns Medicare benefits to 5 organizations: St. John Physicians, Inc. (Tulsa, OK), Tulsa Hospital Medicine Physicians Group, LLC (Tulsa, OK), Usacs Observation Medicine Services Of Oklahoma, LLC (Tulsa, OK), Usacs Critical Care Medicine Of Oklahoma, LLC (Broken Arrow, OK) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each 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 Kacey Mcconnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kacey Mcconnell accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Kacey Mcconnell 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 Kacey Mcconnell affiliated with any hospitals?
According to CMS data, Kacey Mcconnell is affiliated with Ascension St John Jane Phillips and Ascension St John Medical Center.
When was this NPI record last updated?
The NPPES record for Kacey Mcconnell was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kacey Mcconnell, DO · NPI 1063890242
Internal Medicine physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since May 8, 2015.
## Identity
- **NPI:** 1063890242 (Entity type: Individual)
- **Enumerated:** May 8, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 6025 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1923 S UTICA AVE, Tulsa, OK 74104-6520
- **Phone:** (918) 634-7691
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK); Tulsa Hospital Medicine Physicians Group, LLC (NPI 1144982711, Tulsa, OK); Usacs Observation Medicine Services Of Oklahoma, LLC (NPI 1326739111, Tulsa, OK); Usacs Critical Care Medicine Of Oklahoma, LLC (NPI 1255166856, Broken Arrow, OK); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1063890242) · Data from the CMS NPPES public registry.