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IVAN WAYNE MD
NPI 1134198260
Otolaryngology - Facial Plastic Surgery in Oklahoma City, OK

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
15/100
CMS Quality Rating
10001 BROADWAY EXT STE A, OKLAHOMA CITY, OK 73114(405) 748-5950(405) 607-3580 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivan Wayne Md NPPES

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

IVAN WAYNE MD (NPI 1134198260) is an individual facial plastic surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (22995) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1996).

NPPES Registry Identity

NPI1134198260
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameIVAN WAYNECredential: MD
Location Address10001 BROADWAY EXT STE AOklahoma City, OK 73114-6307
Mailing Address6608 N Western Ave # 416Nichols Hills, OK 73116-7326 · (405) 748-5950 · Fax (405) 607-3580
Phone(405) 748-5950
Fax(405) 607-3580
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996
Enumeration DateMarch 14, 2006
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1134198260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in OK · 22995
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 22995 (OK)
10001 BROADWAY EXT STE A, Oklahoma City, OK 73114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Ivan Wayne 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 ID446274526
PECOS Enrollment IDI20060116000455
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.

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

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.

15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability0
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

W PROFESSIONAL SURGICAL SERVICES PLLC
Otolaryngology (Plastic Surgery within the Head & Neck)
10001 BROADWAY EXT STE A
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 748-5950
W MEDICAL SERVICES
Otolaryngology (Plastic Surgery within the Head & Neck)
10001 BROADWAY EXT STE A
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 748-5950

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 Ivan Wayne's NPI number?

The NPI number for Ivan Wayne is 1134198260. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Ivan Wayne located?

Ivan Wayne practices at 10001 Broadway Ext Ste A, Oklahoma City, OK 73114. The listed phone number is (405) 748-5950.

What is Ivan Wayne's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Ivan Wayne enrolled in Medicare?

Yes. Ivan Wayne 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 Ivan Wayne accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Ivan Wayne 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 Ivan Wayne affiliated with any hospitals?

According to CMS data, Ivan Wayne is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Ivan Wayne was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.