DANIEL NELSON FONG MD
NPI 1124224431
Obstetrics & Gynecology in Oklahoma City, OK

Active since June 23, 2007PECOS EnrolledAccepts Medicare Assignment
81.55/100
CMS Quality Rating
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120(405) 936-1092(405) 302-5232 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel Nelson Fong Md NPPES

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

DANIEL NELSON FONG MD (NPI 1124224431) is an individual obstetrics & gynecology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (25623) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of Oklahoma College Of Medicine (2007).

NPPES Registry Identity

NPI1124224431
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDANIEL NELSON FONGCredential: MD
Location Address11200 N PORTLAND AVEOklahoma City, OK 73120-5045
Mailing Address11200 N Portland AveOklahoma City, OK 73120-5045 · (405) 936-1500 · Fax (405) 302-5232
Fax(405) 302-5232
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2007
Enumeration DateJune 23, 2007
Last NPPES UpdateApril 26, 2012
NPI 1124224431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OK · 25623
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11200 N PORTLAND AVE, Oklahoma City, OK 73120

Accepted 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

Daniel Nelson Fong Md 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 ID5890964795
PECOS Enrollment IDI20110810000575
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 4

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.

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
51 services51 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 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.
18 services18 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Lakeside Women's Hospital, A Member Of Integris He

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370199
Location11200 North Portland AvenueOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
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.

81.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.14
Promoting Interoperability100
Improvement Activities40
Cost46.37

Reported Quality Measures

Breast Cancer Screening
78%159 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%990 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%947 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%2,213 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 1,146 patients
1%1,146 patients
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.

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.

Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Registered Nurse (Lactation Consultant)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE, 2ND FL
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Anesthesiology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Anesthesiology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Physician Assistant
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120

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 Daniel Fong's NPI number?

The NPI number for Daniel Fong is 1124224431. It was assigned to this individual provider in the NPPES registry on June 23, 2007.

Where is Daniel Fong located?

Daniel Fong practices at 11200 N Portland Ave, Oklahoma City, OK 73120. The listed phone number is (405) 936-1092.

What is Daniel Fong's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Daniel Fong enrolled in Medicare?

Yes. Daniel Fong 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 Daniel Fong accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Daniel Fong 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 Daniel Fong affiliated with any hospitals?

According to CMS data, Daniel Fong is affiliated with Integris Baptist Medical Center, Inc, O U Medical Center, Lakeside Women's Hospital, A Member Of Integris He and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Fong was last updated on April 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.