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CHACY EMMANUEL ONG LLIDO
NPI 1245125210
Physician Assistant in Moore, OK

Active since June 10, 2025PECOS Enrolled
400 N EASTERN AVE, MOORE, OK 73160(405) 757-7818(405) 706-0645 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2026, Dec 30, 2025, Sep 2, 2025 and 1 more (4 updates tracked since 2025).

About Chacy Emmanuel Ong Llido NPPES

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

CHACY EMMANUEL ONG LLIDO (NPI 1245125210) is an individual physician assistant in Moore, Oklahoma and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245125210
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHACY EMMANUEL ONG LLIDO
Location Address400 N EASTERN AVEMoore, OK 73160-5833
Mailing AddressPo Box 891625Oklahoma City, OK 73189-1625
Phone(405) 757-7818
Fax(405) 706-0645
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 10, 2025
Last NPPES UpdateApril 29, 20264 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1245125210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

400 N EASTERN AVE, Moore, OK 73160
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13300 NW ExpresswayOklahoma City, OK 73112-4418 · Phone (405) 949-3155
Location 22400 S Country Club RdEl Reno, OK 73036-5801 · Phone (405) 320-9444

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chacy Emmanuel Ong Llido is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193215994
PECOS Enrollment IDI20251110002092
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 73160 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.

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.

HALEY HARRISON STRUTTON DNP, APRN, FNP-C
Nurse Practitioner (Family)
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (405) 757-7818
MY NGUYEN APRN CNP
Nurse Practitioner (Family)
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (405) 757-7818
AKY MD, LLC
Pediatrics
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (405) 757-7818
ELIZABETH DUNBAR
Nurse Practitioner (Family)
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (405) 757-7818
HENRIETTA MAE NELSON
Counselor (Addiction (Substance Use Disorder))
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (405) 659-5858
KRISTINA VALENTINO APRN
Nurse Practitioner (Pediatrics)
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (405) 757-7818
MRS. MALLORY JO GRAY APRN
Nurse Practitioner (Family)
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (405) 730-6990
KYLEE SULLIVAN M.S., CCC-SLP
Speech-Language Pathologist
400 N EASTERN AVE
MOORE, OK 73160
Cleveland County (580) 367-0041

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 Chacy Emmanuel Llido's NPI number?

The NPI number for Chacy Emmanuel Llido is 1245125210. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Chacy Emmanuel Llido located?

Chacy Emmanuel Llido practices at 400 N Eastern Ave, Moore, OK 73160. The listed phone number is (405) 757-7818.

What is Chacy Emmanuel Llido's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chacy Emmanuel Llido enrolled in Medicare?

Yes. Chacy Emmanuel Llido is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chacy Emmanuel Llido was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.