HENRY K UPCHURCH JR. DO
NPI 1285624817
Emergency Medicine - Emergency Medical Services in Muskogee, OK

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
300 ROCKEFELLER DR, MUSKOGEE, OK 74401(918) 781-9466 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Henry K Upchurch Jr. Do NPPES

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

HENRY K UPCHURCH JR. DO (NPI 1285624817) is an individual emergency medical services provider in Muskogee, Oklahoma, licensed in Oklahoma (2821) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1988).

NPPES Registry Identity

NPI1285624817
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameHENRY K UPCHURCH JR.Credential: DO
Location Address300 ROCKEFELLER DRMuskogee, OK 74401-5075
Mailing AddressLockbox #17, 2424 E. 21st #100Tulsa, OK 74114-1711 · (866) 321-8433
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1988
Enumeration DateOctober 25, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285624817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in OK · 2821
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
300 ROCKEFELLER DR, Muskogee, OK 74401

Other Identifiers 1

Medicare UPINE35061

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

Henry K Upchurch Jr. 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 ID9739159393
PECOS Enrollment IDI20180611000460
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Henry Upchurch reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
100 N WALNUT AVE STE A
Mansfield, AR 72944
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1912978875 (Arkansas)
  • 137 clinicians in this Medicare group
Critical Access
801 W RIVER ST
Ozark, AR 72949
  • Reassigned Medicare billing, Arkansas enrollment
  • 112 clinicians in this Medicare group
Rural Health
128 DANIEL AVENUE
Booneville, AR 72927
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1992133714 (Arkansas)
  • 146 clinicians in this Medicare group
Rural Health
303 S 5TH ST
Paris, AR 72855
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1760453633 (Arkansas), NPI 1912955709 (Arkansas)
  • 159 clinicians in this Medicare group
Emergency Medicine
2001 S MAIN ST
Hope, AR 71801
  • Reassigned Medicare billing, Arkansas enrollment
  • 323 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74401 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 20

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

Hospitalist
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Family Medicine
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Physician Assistant (Medical)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Clinic/Center (Medical Specialty)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Psychiatry & Neurology (Psychiatry)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Hospitalist
300 ROCKEFELLER DR, REHABILITATION UNIT
MUSKOGEE, OK 74401
Rehabilitation Unit
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Hospitalist
300 ROCKEFELLER DR
MUSKOGEE, OK 74401

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 Henry Upchurch's NPI number?

The NPI number for Henry Upchurch is 1285624817. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Henry Upchurch located?

Henry Upchurch practices at 300 Rockefeller Dr, Muskogee, OK 74401. The listed phone number is (918) 781-9466.

What is Henry Upchurch's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Henry Upchurch enrolled in Medicare?

Yes. Henry Upchurch 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 Henry Upchurch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Upchurch reassigns Medicare benefits to 5 organizations: Mercy Hospital Waldron (Mansfield, AR), Mercy Hospital Ozark (Ozark, AR), Mercy Hospital Booneville (Booneville, AR), Mercy Hospital Paris (Paris, AR) and Arkansas Emergency Staffing Solutions, Inc (Hope, AR). 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 Henry Upchurch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henry Upchurch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.