DR. GERALD ALLEN ENGLISH III D.O.
NPI 1205157989
Internal Medicine in Oklahoma City, OK

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112(405) 713-7403(405) 713-2794 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2017, Nov 14, 2016 (2 updates tracked since 2016).

About Dr. Gerald Allen English Iii D.o. NPPES

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

DR. GERALD ALLEN ENGLISH III D.O. (NPI 1205157989) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (5329) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of University Of Virginia School Of Medicine (2010).

NPPES Registry Identity

NPI1205157989
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GERALD ALLEN ENGLISH IIICredential: D.O.
Location Address3300 NW EXPRESSWAYOklahoma City, OK 73112-4418
Mailing Address5300 N Independence Ave, Suite 280Oklahoma City, OK 73112-5556 · (405) 713-7403 · Fax (405) 713-2794
Fax(405) 713-2794
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2010
Enumeration DateJune 17, 2010
Last NPPES UpdateJuly 20, 20172 updates tracked since enumeration
NPI 1205157989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 5329
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3300 NW EXPRESSWAY, Oklahoma City, OK 73112

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

Dr. Gerald Allen English Iii 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 ID8527217611
PECOS Enrollment IDI20130820000855
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 2

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.

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.
258 services254 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.
226 services220 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Mercy Hospital Kingfisher, Inc

Critical Access Hospitals · Kingfisher, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371313
Location1000 Hospital DriveKingfisher, OK 73750 · Kingfisher County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

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.

Nurse Practitioner (Acute Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Anesthesiology
3300 NW EXPRESSWAY, 2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY
OKLAHOMA CITY, OK 73112
Physician Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Neonatal)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physical Therapy Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Pediatrics, Critical Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Registered Nurse (Emergency)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Registered Nurse
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112

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 Gerald English's NPI number?

The NPI number for Gerald English is 1205157989. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Gerald English located?

Gerald English practices at 3300 NW Expressway, Oklahoma City, OK 73112. The listed phone number is (405) 713-7403.

What is Gerald English's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerald English enrolled in Medicare?

Yes. Gerald English 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 Gerald English accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Gerald English 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 Gerald English affiliated with any hospitals?

According to CMS data, Gerald English is affiliated with Mercy Hospital Oklahoma City, Inc, Mercy Hospital Ardmore, Inc, Oklahoma Heart Hospital, LLC, Oklahoma Heart Hospital South, LLC and Mercy Hospital Kingfisher, Inc.

When was this NPI record last updated?

The NPPES record for Gerald English was last updated on July 20, 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.