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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THERESE M.B. AMIGO M.D.
NPI 1235107814
Pediatrics in Muskogee, OK

Active since March 09, 2006PECOS Enrolled
401 S YORK ST, CCOM MEDICAL GROUP, INC., MUSKOGEE, OK 74403(918) 683-1144(918) 683-5316 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Therese M.b. Amigo M.d. NPPES

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

DR. THERESE M.B. AMIGO M.D. (NPI 1235107814) is an individual pediatrics provider in Muskogee, Oklahoma, licensed in Oklahoma (21291) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235107814
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. THERESE M.B. AMIGOCredential: M.D.
Location Address401 S YORK ST, CCOM MEDICAL GROUP, INC.Muskogee, OK 74403-5955
Mailing Address350 S 40th St, Ccom Medical Group, Inc.Muskogee, OK 74401-4915 · (918) 683-0753 · Fax (918) 687-5251
Phone(918) 683-1144
Fax(918) 683-5316
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1235107814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 21291
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
401 S YORK ST, Muskogee, OK 74403
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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 (PECOS)

Dr. Therese M.b. Amigo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74403 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.

Other Providers at the Same Location NPPES

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

MS. ANITA MARIE WRIGHT LMT
Massage Therapist
401 S YORK ST
MUSKOGEE, OK 74403
Muskogee County (918) 289-4504

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 Therese Amigo's NPI number?

The NPI number for Therese Amigo is 1235107814. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Therese Amigo located?

Therese Amigo practices at 401 S York St Ccom Medical Group, Inc., Muskogee, OK 74403. The listed phone number is (918) 683-1144.

What is Therese Amigo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Therese Amigo enrolled in Medicare?

Yes. Therese Amigo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Therese Amigo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.