JEFF E NORTHCUTT M.D.
NPI 1174566772
Specialist in Ponca City, OK

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
1908 N 14TH ST, SUITE 206, PONCA CITY, OK 74601(580) 762-8045(580) 762-2798 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeff E Northcutt M.d. NPPES

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

JEFF E NORTHCUTT M.D. (NPI 1174566772) is an individual specialist in Ponca City, Oklahoma, licensed in Oklahoma (22394) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (2001).

NPPES Registry Identity

NPI1174566772
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJEFF E NORTHCUTTCredential: M.D.
Location Address1908 N 14TH ST, SUITE 206Ponca City, OK 74601-2014
Mailing Address1908 N 14th St, Suite 206Ponca City, OK 74601-2014 · (580) 762-8045 · Fax (580) 762-2798
Fax(580) 762-2798
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2001
Enumeration DateJune 13, 2006
Last NPPES UpdateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
NPI 1174566772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OK · 22394
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1908 N 14TH ST, Ponca City, OK 74601

Secondary Practice Location 1

Location 14300 W Memorial RdOklahoma City, OK 73120-8304 · Phone (405) 286-5600

Other Identifiers 1

Medicaid100120210AOK

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

Jeff E Northcutt 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 ID7012944408
PECOS Enrollment IDI20050927000579
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.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
1908 N 14TH ST
PONCA CITY, OK 74601
Internal Medicine
1908 N 14TH ST, SUITE 207
PONCA CITY, OK 74601
Obstetrics & Gynecology
1908 N 14TH ST, SUITE 202
PONCA CITY, OK 74601
Clinic/Center (Rural Health)
1908 N 14TH ST, STE 202, 203 & 207
PONCA CITY, OK 74601
Family Medicine
1908 N 14TH ST, STE. 204
PONCA CITY, OK 74601
Urology
1908 N 14TH ST, 201
PONCA CITY, OK 74601

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 Jeff Northcutt's NPI number?

The NPI number for Jeff Northcutt is 1174566772. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Jeff Northcutt located?

Jeff Northcutt practices at 1908 N 14th St Suite 206, Ponca City, OK 74601. The listed phone number is (580) 762-8045.

What is Jeff Northcutt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeff Northcutt enrolled in Medicare?

Yes. Jeff Northcutt 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 Jeff Northcutt accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Oscar Insurance Company list Jeff Northcutt 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.

When was this NPI record last updated?

The NPPES record for Jeff Northcutt was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.