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COLONY S FUGATE DO
NPI 1073619425
Pediatrics in Tulsa, OK

Active since September 15, 2006PECOS Enrolled
717 S HOUSTON AVE FL 4, TULSA, OK 74127(918) 382-4600(918) 382-3183 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colony S Fugate Do NPPES

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

COLONY S FUGATE DO (NPI 1073619425) is an individual pediatrics provider in Tulsa, Oklahoma, licensed in Oklahoma (3923) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073619425
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCOLONY S FUGATECredential: DO
Location Address717 S HOUSTON AVE FL 4Tulsa, OK 74127-9023
Mailing Address717 S Houston Ave Fl 4Tulsa, OK 74127-9023 · (918) 382-4600 · Fax (918) 382-3183
Phone(918) 382-4600
Fax(918) 382-3183
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateFebruary 13, 2019
✔ NPI 1073619425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 3923
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
717 S HOUSTON AVE FL 4, Tulsa, OK 74127
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Other Identifiers 1

Medicaid200035440BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colony S Fugate 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 Colony Fugate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oklahoma State University
1.4 mi
Medical Specialty
2345 SOUTHWEST BLVD
Tulsa, OK 74107
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
NPI 1306882261 (918) 561-5701

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 74127 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 12

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

DR. CHRISTINA ELIZA SANCHEZ DO
Student in an Organized Health Care Education/Training Program
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-3178
KAYSE M SHRUM D.O.
Pediatrics
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-4600
DR. BAYLEE LYNNE ARREOLA DO
Pediatrics
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-3100
TRAVIS D CAMPBELL DO
Pediatrics
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-4600
AMANDA G FOSTER DO
Pediatrics
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-4600
JEREMY LEE JONES D.O.
Pediatrics
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-4600
RACHEL WILKS MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-3178
SHAWNA RENEA SEGRAVES DUNCAN DO
Pediatrics
717 S HOUSTON AVE FL 4
TULSA, OK 74127
Osage County (918) 382-4600

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 Colony Fugate's NPI number?

The NPI number for Colony Fugate is 1073619425. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Colony Fugate located?

Colony Fugate practices at 717 S Houston Ave Fl 4, Tulsa, OK 74127. The listed phone number is (918) 382-4600.

What is Colony Fugate's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Colony Fugate enrolled in Medicare?

Yes. Colony Fugate is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colony Fugate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colony Fugate reassigns Medicare benefits to Oklahoma State University (Tulsa, 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 Colony Fugate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colony Fugate accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Colony Fugate 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 Colony Fugate was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.