JEREMY EUGENE WIDENER DO
NPI 1215557178
Radiology - Diagnostic Radiology in Oklahoma City, OK
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
11Medicare enrollment records show Jeremy Widener reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duncan, OK 73533
- Reassigned Medicare billing, Oklahoma enrollment
- 75 clinicians in this Medicare group
Frisco, TX 75034
- Reassigned Medicare billing, Oklahoma enrollment
- 13 clinicians in this Medicare group
Flower Mound, TX 75028
- Reassigned Medicare billing, Oklahoma enrollment
- 13 clinicians in this Medicare group
Allen, TX 75013
- Reassigned Medicare billing, Oklahoma enrollment
- 13 clinicians in this Medicare group
Carrollton, TX 75010
- Reassigned Medicare billing, Oklahoma enrollment
- 13 clinicians in this Medicare group
Plano, TX 75093
- Reassigned Medicare billing, Oklahoma enrollment
- 13 clinicians in this Medicare group
Plano, TX 75075
- Reassigned Medicare billing, Oklahoma enrollment
- 12 clinicians in this Medicare group
Fort Worth, TX 76244
- Reassigned Medicare billing, Oklahoma enrollment
- 12 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Oklahoma enrollment
- 12 clinicians in this Medicare group
Dallas, TX 75243
- Reassigned Medicare billing, Oklahoma enrollment
- 12 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.
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, OKCommunity Hospital, LLC
Acute Care Hospitals · Oklahoma City, OKOklahoma Spine Hospital
Acute Care Hospitals · Oklahoma City, OKParis Regional Medical Center
Acute Care Hospitals · Paris, TXGraham Regional Medical Center
Critical Access Hospitals · Graham, TXPhysician 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.
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.
OKLAHOMA CITY, OK 73102
OKLAHOMA CITY, OK 73102
OKLAHOMA CITY, OK 73102
OKLAHOMA CITY, OK 73102
OKLAHOMA CITY, OK 73102
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 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.
Where is Jeremy Widener located?
Jeremy Widener practices at 1000 N Lee Ave Rm 1980, Oklahoma City, OK 73102. The listed phone number is (405) 272-8437.
What is Jeremy Widener's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jeremy Widener enrolled in Medicare?
Yes. Jeremy Widener 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 Jeremy Widener's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Widener reassigns Medicare benefits to 11 organizations: Eagle Partners, PLLC (Duncan, OK), North Star Mri Of Frisco LP (Frisco, TX), North Star Fm, LP (Flower Mound, TX), North Star Mri LP (Allen, TX), North Star Cn, LP (Carrollton, TX) and 6 more organizations, listed in the Medicare section above. 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 Jeremy Widener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Widener accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jeremy Widener 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 Jeremy Widener affiliated with any hospitals?
According to CMS data, Jeremy Widener is affiliated with Grady Memorial Hospital, Community Hospital, LLC, Oklahoma Spine Hospital, Paris Regional Medical Center and Graham Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jeremy Widener was last updated on May 17, 2021. 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.
# Jeremy Eugene Widener, DO · NPI 1215557178
Diagnostic Radiology physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since April 21, 2020.
## Identity
- **NPI:** 1215557178 (Entity type: Individual)
- **Enumerated:** April 21, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 0390R (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N LEE AVE RM 1980, Oklahoma City, OK 73102-1036
- **Phone:** (405) 272-8437 · **Fax:** (405) 231-3007
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Eagle Partners, PLLC (NPI 1548450976, Duncan, OK); North Star Mri Of Frisco LP (NPI 1649356759, Frisco, TX); North Star Fm, LP (NPI 1174812028, Flower Mound, TX); North Star Mri LP (NPI 1033174701, Allen, TX); North Star Cn, LP (NPI 1013305945, Carrollton, TX); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2020
## Record status
- **NPPES last updated:** May 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215557178) · Data from the CMS NPPES public registry.