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DR. MICHAEL W HAMMOND MD
NPI 1104861616
Family Medicine in Muskogee, OK

Active since June 18, 2006PECOS Enrolled
58.3/100
CMS Quality Rating
3900 W BROADWAY ST, MUSKOGEE, OK 74401(918) 682-8612(918) 682-0620 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael W Hammond Md NPPES

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

DR. MICHAEL W HAMMOND MD (NPI 1104861616) is an individual family medicine provider in Muskogee, Oklahoma, licensed in Oklahoma (15215) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of University Of Oklahoma College Of Medicine (1984).

NPPES Registry Identity

NPI1104861616
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL W HAMMONDCredential: MD
Location Address3900 W BROADWAY STMuskogee, OK 74401-2145
Mailing Address3900 W Broadway StMuskogee, OK 74401-2145 · (918) 682-8612 · Fax (918) 682-0620
Phone(918) 682-8612
Fax(918) 682-0620
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1984
Enumeration DateJune 18, 2006
Last NPPES UpdateApril 4, 2012
✔ NPI 1104861616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 15215
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.
3900 W BROADWAY ST, Muskogee, OK 74401
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Other Identifiers 1

Medicare UPINF04432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

Dr. Michael W Hammond Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214952522
PECOS Enrollment IDI20051005001249
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
492 services169 patients
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.
403 services153 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
121 services38 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74401 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.

58.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.76
Improvement Activities40
Cost25.31

Reported Quality Measures

Breast Cancer Screening
0%134 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%119 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%312 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
52%262 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%123 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
40%123 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
30%2,598 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%322 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%600 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
40%483 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%843 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 18% · 414 patients
15%414 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 12% · 332 patients
Patients totalRate: 17% · 332 patients
12%332 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims68 services$5.53 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier15 claims400 services$2.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$52.98 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims600 services$0.69 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$20.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ADVANCED HEALTHCARE SOLUTIONS LLC
Family Medicine
3900 W BROADWAY ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-8612
PRECISION INTERNAL MEDICINE CARE PC
Internal Medicine
3900 W BROADWAY ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-8612
PRECISION MEDICAL CARE PC
Internal Medicine
3900 W BROADWAY ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-8612
ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.
Internal Medicine (Gastroenterology)
3900 W BROADWAY ST
MUSKOGEE, OK 74401
Muskogee County (479) 242-2888

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 Michael Hammond's NPI number?

The NPI number for Michael Hammond is 1104861616. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Michael Hammond located?

Michael Hammond practices at 3900 W Broadway St, Muskogee, OK 74401. The listed phone number is (918) 682-8612.

What is Michael Hammond's specialty?

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

Is Michael Hammond enrolled in Medicare?

Yes. Michael Hammond is registered in the Medicare PECOS enrollment system.

What insurance does Michael Hammond accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Michael Hammond 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 Michael Hammond affiliated with any hospitals?

According to CMS data, Michael Hammond is affiliated with Northeastern Health System.

When was this NPI record last updated?

The NPPES record for Michael Hammond was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.