DR. MARK A OATMAN MD
NPI 1205814449
Family Medicine in Ponca City, OK

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
154 S MCCORD RD, PONCA CITY, OK 74604(580) 747-9039 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mark A Oatman Md NPPES

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

DR. MARK A OATMAN MD (NPI 1205814449) is an individual family medicine provider in Ponca City, Oklahoma, licensed in Oklahoma (26016) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1205814449
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK A OATMANCredential: MD
Location Address154 S MCCORD RDPonca City, OK 74604-5885
Mailing Address154 S Mccord RdPonca City, OK 74604-5885 · (580) 747-9039
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 6, 2006
Last NPPES UpdateSeptember 25, 2019
✔ NPI 1205814449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OK · 26016✔ Licensed in KS · 04-29587
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
154 S MCCORD RD, Ponca City, OK 74604

Secondary Practice Locations 6

Location 14110 S 100th East Ave Ste 201Tulsa, OK 74146-3629 · Phone (580) 747-9039
Location 21301 N 5th StTonkawa, OK 74653-1513 · Phone (580) 747-9039
Location 31500 Bradley AvePonca City, OK 74604-2524 · Phone (580) 747-9039
Location 42024 Turner StPonca City, OK 74604-2732 · Phone (580) 747-9039
Location 51601 Academy RdPonca City, OK 74604-4409 · Phone (580) 747-9039 ext. 580
Location 61400 N Waverly StPonca City, OK 74601-2134 · Phone (580) 747-9039

Other Identifiers 1

Medicaid200127510AOK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark A Oatman 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 ID2668550492
PECOS Enrollment IDI20080421000100
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Oatman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2703 N 14TH ST
Ponca City, OK 74601
  • Reassigned Medicare billing, Oklahoma enrollment
  • 9 clinicians in this Medicare group
Pain Medicine
6717 S YALE AVE STE 210
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 18 clinicians in this Medicare group
Family Medicine
3013 AZALEA PARK DR
Muskogee, OK 74401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
122 services91 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
92 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services19 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
37 services19 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74604 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
$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.

Reported Quality Measures

Breast Cancer Screening
22%188 patients1/55-star benchmark: 93%
Cervical Cancer Screening
23%260 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
12%429 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
60%285 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
7%119 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
68%119 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,165 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%227 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%738 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
79%523 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%735 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 53% · 595 patients
Patients screened: 72% · 595 patients
26%155 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%146 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 245 patients
Patients totalRate: 26% · 252 patients
27%252 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier13 claims156 services$2.10 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers20 claims27 services$7.45 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$21.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$118.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Oatman's NPI number?

The NPI number for Mark Oatman is 1205814449. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Mark Oatman located?

Mark Oatman practices at 154 S Mccord Rd, Ponca City, OK 74604. The listed phone number is (580) 747-9039.

What is Mark Oatman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Oatman enrolled in Medicare?

Yes. Mark Oatman 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.

Which organizations bill Medicare for Mark Oatman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Oatman reassigns Medicare benefits to 3 organizations: Triad Health Systems LLC (Ponca City, OK), Precision Pain Management LLC (Tulsa, OK) and Triad Complete Healthcare A07 (Muskogee, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Oatman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Oatman accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mark Oatman 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 Mark Oatman was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.