JEREMY EUGENE WIDENER DO
NPI 1215557178
Radiology - Diagnostic Radiology in Oklahoma City, OK

Q: What is Jeremy Widener's NPI number?

The NPI number for Jeremy Widener is 1215557178. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Q: What is Jeremy Widener's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Widener was last updated on May 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment

1000 N LEE AVE RM 1980, OKLAHOMA CITY, OK 73102(405) 272-8437(405) 231-3007 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2021, Apr 21, 2020 (2 updates tracked since 2020).

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About Jeremy Eugene Widener Do NPPES

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

JEREMY EUGENE WIDENER DO (NPI 1215557178) is an individual diagnostic radiology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (0390R) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1215557178

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJEREMY EUGENE WIDENERCredential: DO

Location Address1000 N LEE AVE RM 1980Oklahoma City, OK 73102-1036

Mailing Address1200 Everett DrOklahoma City, OK 73104-5047 · (405) 271-5125

Phone(405) 272-8437

Fax(405) 231-3007

Sole ProprietorNo

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2020

Enumeration DateApril 21, 2020

Last NPPES UpdateMay 17, 20212 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1215557178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in OK · 0390R

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 N LEE AVE RM 1980, Oklahoma City, OK 73102

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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

Jeremy Eugene Widener Do 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 ID5698284693

PECOS Enrollment IDI20250602001736

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 5

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

Grady Memorial Hospital

Acute Care Hospitals · Chickasha, OK

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number370054

Location2220 Iowa StreetChickasha, OK 73018 · Grady County

Emergency services

Community Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370203

Location3100 Southwest 89th StreetOklahoma City, OK 73159 · Oklahoma County

Emergency services

Oklahoma Spine Hospital

Acute Care Hospitals · Oklahoma City, OK

OwnershipPhysician

CMS Certification Number370206

Location14101 Parkway Commons DriveOklahoma City, OK 73134 · Oklahoma County

Emergency services

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450196

Location865 Deshong DrParis, TX 75460 · Lamar County

Emergency services Birthing friendly

Graham Regional Medical Center

Critical Access Hospitals · Graham, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number671300

Location1301 Montgomery RoadGraham, TX 76450 · Young County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73102 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

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

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

STELLA HUYNH MD

Student in an Organized Health Care Education/Training Program