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MADELINE DERTING
NPI 1124846480
Physician Assistant in Oklahoma City, OK

Active since September 26, 2024PECOS EnrolledAccepts Medicare Assignment
700 NE 10TH ST, OKLAHOMA CITY, OK 73104(405) 271-3635 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madeline Derting NPPES

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

MADELINE DERTING (NPI 1124846480) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (5638) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124846480
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE DERTING
Location Address700 NE 10TH STOklahoma City, OK 73104-5404
Mailing Address910 W Hill StOklahoma City, OK 73118-7257
Phone(405) 271-3635
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 26, 2024
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1124846480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 5638
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
700 NE 10TH ST, Oklahoma City, OK 73104
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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

Madeline Derting 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 ID4981181476
PECOS Enrollment IDI20260127002305
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.

Hospital Affiliations CMS Care Compare

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

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

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.

Other Providers at the Same Location NPPES 5

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

DR. NIKHIL ANAND BACHOO MBBS
Internal Medicine
700 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5882
MEGAN MATHEW AGNP-C
Nurse Practitioner (Adult Health)
700 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
AVANI PATEL
Physician Assistant
700 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
MARGARET ELAINE HAXTON APRN-CCNS
Clinical Nurse Specialist
700 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MAHITA BELLAMKONDA M.D
Family Medicine
700 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5882

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 Madeline Derting's NPI number?

The NPI number for Madeline Derting is 1124846480. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Madeline Derting located?

Madeline Derting practices at 700 NE 10th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-3635.

What is Madeline Derting's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madeline Derting enrolled in Medicare?

Yes. Madeline Derting 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.

Is Madeline Derting affiliated with any hospitals?

According to CMS data, Madeline Derting is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Madeline Derting was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.