SHANNON BOUGHNER D.O.
NPI 1194918748
Hospitalist in Tulsa, OK

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
6161 S YALE AVE, TULSA, OK 74136(918) 502-1900 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Boughner D.o. NPPES

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

SHANNON BOUGHNER D.O. (NPI 1194918748) is an individual hospitalist provider in Tulsa, Oklahoma, licensed in Oklahoma (4277) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194918748
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHANNON BOUGHNERCredential: D.O.
Location Address6161 S YALE AVETulsa, OK 74136-1902
Mailing Address6600 S Yale Ave, Suite 1200Tulsa, OK 74136-3347 · (918) 488-6687
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 27, 2007
Last NPPES UpdateJuly 31, 2017
NPI 1194918748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OK · 4277
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4277 (OK)
6161 S YALE AVE, Tulsa, OK 74136

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

Shannon Boughner D.o. 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 ID6901983535
PECOS Enrollment IDI20080408000098
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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
558 services134 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services76 patients
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.
31 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

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.

Surgery (Surgical Critical Care)
6161 S YALE AVE
TULSA, OK 74136
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Physical Therapist
6161 S YALE AVE
TULSA, OK 74136
Physical Therapy Assistant
6161 S YALE AVE
TULSA, OK 74136
Rehabilitation Unit
6161 S YALE AVE
TULSA, OK 74136
General Acute Care Hospital (Critical Access)
6161 S YALE AVE
TULSA, OK 74136
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Hospitalist
6161 S YALE AVE
TULSA, OK 74136

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 Shannon Boughner's NPI number?

The NPI number for Shannon Boughner is 1194918748. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Shannon Boughner located?

Shannon Boughner practices at 6161 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 502-1900.

What is Shannon Boughner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shannon Boughner enrolled in Medicare?

Yes. Shannon Boughner 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 Shannon Boughner accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Shannon Boughner 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 Shannon Boughner affiliated with any hospitals?

According to CMS data, Shannon Boughner is affiliated with Hillcrest Medical Center, Saint Francis Hospital, Inc and Hillcrest Hospital South.

When was this NPI record last updated?

The NPPES record for Shannon Boughner was last updated on July 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.