DR. TOM PATRICK COKER M.D.
NPI 1245203736
Orthopaedic Surgery in Fayetteville, AR

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703(479) 521-2752(479) 444-6942 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tom Patrick Coker M.d. NPPES

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

DR. TOM PATRICK COKER M.D. (NPI 1245203736) is an individual orthopaedic surgery provider in Fayetteville, Arkansas, licensed in Arkansas (C6584) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1245203736
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TOM PATRICK COKERCredential: M.D.
Location Address3317 N WIMBERLY DRFayetteville, AR 72703-4056
Mailing AddressPo Box 1608Fayetteville, AR 72702-1608 · (479) 521-2752 · Fax (479) 444-6942
Fax(479) 444-6942
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateFebruary 7, 2006
Last NPPES UpdateNovember 29, 2007
NPI 1245203736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AR · C6584
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3317 N WIMBERLY DR, Fayetteville, AR 72703

Other Identifiers 2

Medicare PIN53003AR
Medicare UPINA98479AR

Accepted Insurance

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

Dr. Tom Patrick Coker M.d. 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 ID5395720619
PECOS Enrollment IDI20100318000219
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.

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
202 services158 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
161 services158 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
150 services150 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
139 services111 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
66 services64 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
39 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
21%648 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
0%22 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,493 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
80%426 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
72%1,739 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 1,165 patients
Patients screened: 89% · 1,165 patients
57%124 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
69%710 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 466 patients
Patients totalRate: 1% · 467 patients
1%467 patients4/55-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

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$11.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery (Hand Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery (Foot and Ankle Surgery)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Medicine & Rehabilitation (Pain Medicine)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physician Assistant
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703

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 Tom Coker's NPI number?

The NPI number for Tom Coker is 1245203736. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Tom Coker located?

Tom Coker practices at 3317 N Wimberly Dr, Fayetteville, AR 72703. The listed phone number is (479) 521-2752.

What is Tom Coker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Tom Coker enrolled in Medicare?

Yes. Tom Coker 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.

What insurance does Tom Coker accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Tom Coker 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 Tom Coker was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.