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NATHAN D OAKLEY MD
NPI 1124466040
Family Medicine in Evansville, IN

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
79.52/100
CMS Quality Rating
415 W COLUMBIA ST, STE 110, EVANSVILLE, IN 47710(812) 450-3363(812) 450-3071 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan D Oakley Md NPPES

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

NATHAN D OAKLEY MD (NPI 1124466040) is an individual family medicine provider in Evansville, Indiana, licensed in Indiana (01074330A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Indiana University School Of Medicine (2013).

NPPES Registry Identity

NPI1124466040
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN D OAKLEYCredential: MD
Location Address415 W COLUMBIA ST, STE 110Evansville, IN 47710-1656
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-3363 · Fax (812) 450-3071
Phone(812) 450-3363
Fax(812) 450-3071
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateAugust 1, 2016
✔ NPI 1124466040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01074330A
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.
415 W COLUMBIA ST, Evansville, IN 47710
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN849950007IN
Medicare PIN639880009IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Nathan D Oakley 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 ID2769606797
PECOS Enrollment IDI20160719001158
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
285 services86 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
92 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

79.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability100
Improvement Activities40
Cost50.9

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$16.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$82.09 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 20

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

DR. JERRY BECKER M.D.
Internal Medicine (Cardiovascular Disease)
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-9133
DR. SCOTT M CORDTS MD
Family Medicine
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-3363
DAVIS DOUGLAS SZYMANSKI MD
Family Medicine
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-3363
HUMZA KHAN MD
Family Medicine
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-3363
THE HEART GROUP, PC
Clinical Medical Laboratory
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-0521
JENNIFER N SITZMAN NP
Nurse Practitioner (Family)
415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-3363
THE HEART GROUP, PC
Clinic/Center (Radiology)
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-0521
LAUREN BASINSKI DO
Family Medicine
415 W COLUMBIA ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-3363

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 Nathan Oakley's NPI number?

The NPI number for Nathan Oakley is 1124466040. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Nathan Oakley located?

Nathan Oakley practices at 415 W Columbia St Ste 110, Evansville, IN 47710. The listed phone number is (812) 450-3363.

What is Nathan Oakley's specialty?

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

Is Nathan Oakley enrolled in Medicare?

Yes. Nathan Oakley 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 Nathan Oakley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Nathan Oakley 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 Nathan Oakley affiliated with any hospitals?

According to CMS data, Nathan Oakley is affiliated with Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Nathan Oakley was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.