ANNA STIDHAM M.D.
NPI 1114066180
Radiology - Diagnostic Radiology in Oklahoma City, OK

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1200 EVERETT DR, 1 NP 606, OKLAHOMA CITY, OK 73104(405) 271-5125 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anna Stidham M.d. NPPES

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

ANNA STIDHAM M.D. (NPI 1114066180) is an individual diagnostic radiology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (23436) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1114066180
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameANNA STIDHAMCredential: M.D.
Location Address1200 EVERETT DR, 1 NP 606Oklahoma City, OK 73104-5047
Mailing Address940 Stanton L Young Blvd, Bmsb 357Oklahoma City, OK 73104-5020
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2003
Enumeration DateFebruary 6, 2007
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1114066180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OK · 23436
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1200 EVERETT DR, Oklahoma City, OK 73104

Secondary Practice Location 1

Location 18516 S Portland AveOklahoma City, OK 73159-2233 · Phone (405) 768-1970 · Fax (405) 438-3993

Other Identifiers 1

Medicaid200134480AOK

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

Anna Stidham M.d. 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 ID5991884017
PECOS Enrollment IDI20080430000758
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 Reassignments

5

Medicare enrollment records show Anna Stidham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
5400 N GRAND BLVD STE 260
Oklahoma City, OK 73112
  • Reassigned Medicare billing, Oklahoma enrollment
  • 32 clinicians in this Medicare group
Radiology
5800 NORTH PORTLAND AVENUE
Oklahoma City, OK 73112
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
Radiology
8516 S PORTLAND AVENUE
Oklahoma City, OK 73159
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group
Diagnostic Radiology
8516 SOUTH PORTLAND AVE
Oklahoma City, OK 73159
  • Reassigned Medicare billing, Oklahoma enrollment
  • 4 clinicians in this Medicare group
Oncology, Radiation
5901 W MEMORIAL RD
Oklahoma City, OK 73142
  • Reassigned Medicare billing, Oklahoma enrollment
  • 28 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 32

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.

Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie A9800
Gallium Ga-68 Gozetotide (Locametz) is a diagnostic procedure involving a radioactive substance used to create detailed images of the body. It helps in identifying specific types of tumors by highlighting them on the scan. It's a safe procedure with minimal side effects.
869 services137 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
378 services378 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
302 services302 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
151 services144 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
150 services149 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
124 services124 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK
OwnershipGovernment - Local
CMS Certification Number370158
Location2301 N 9th AvePurcell, OK 73080 · Mcclain County
Emergency services

Onecore Health

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number370220
Location100 NE 85th StreetOklahoma City, OK 73114 · Oklahoma County
Emergency services

Okeene Municipal Hospital

Critical Access Hospitals · Okeene, OK
OwnershipGovernment - Local
CMS Certification Number371327
Location207 East F StreetOkeene, OK 73763 · Blaine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Nurse Practitioner (Neonatal)
1200 EVERETT DR, ETNP 7504
OKLAHOMA CITY, OK 73104
Pharmacist (Pediatrics)
1200 EVERETT DR
OKLAHOMA CITY, OK 73104
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Neonatal)
1200 EVERETT DR, 7TH FLOOR NP, NEONATAL SECTION, DEPT OF PEDIATRICS
OKLAHOMA CITY, OK 73104
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Neonatal)
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION
OKLAHOMA CITY, OK 73104
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, CHNP 7504
OKLAHOMA CITY, OK 73104
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, CHNP 7504
OKLAHOMA CITY, OK 73104

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 Anna Stidham's NPI number?

The NPI number for Anna Stidham is 1114066180. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Anna Stidham located?

Anna Stidham practices at 1200 Everett Dr 1 Np 606, Oklahoma City, OK 73104. The listed phone number is (405) 271-5125.

What is Anna Stidham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Anna Stidham enrolled in Medicare?

Yes. Anna Stidham 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 Anna Stidham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Stidham reassigns Medicare benefits to 5 organizations: Oklahoma Radiology Group P C (Oklahoma City, OK), Comprehensive Diagnostic Imaging, LLC (Oklahoma City, OK), Oklahoma Prostate Imaging, LLC (Oklahoma City, OK), Premier Breast Health Institute Of Oklahoma LLC (Oklahoma City, OK) and Oklahoma Proton Center LLC (Oklahoma City, OK). 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 Anna Stidham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Stidham accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Anna Stidham 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 Anna Stidham affiliated with any hospitals?

According to CMS data, Anna Stidham is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Ssm Health St Anthony Hospital - Shawnee, Purcell Municipal Hospital, Onecore Health and Okeene Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Anna Stidham was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.