OKLAHOMA SPECIALTY PODIATRY SERVICES LLC
NPI 1306493754
Clinic/Center - Podiatric in Edmond, OK
About Oklahoma Specialty Podiatry Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OKLAHOMA SPECIALTY PODIATRY SERVICES LLC (NPI 1306493754) is a healthcare organization registered as a podiatric in Edmond, Oklahoma and active in the NPI registry since August 2019. The organization lists John M Duck, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oklahoma Specialty Podiatry Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Oklahoma Specialty Podiatry Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Oklahoma Specialty Podiatry Services LLC's NPI number?
The NPI number for Oklahoma Specialty Podiatry Services LLC is 1306493754. It was assigned to this organization in the NPPES registry on August 21, 2019.
Where is Oklahoma Specialty Podiatry Services LLC located?
Oklahoma Specialty Podiatry Services LLC is located at 4422 Wagonwheel Rd, Edmond, OK 73034. The listed phone number is (405) 204-1703.
What is Oklahoma Specialty Podiatry Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Oklahoma Specialty Podiatry Services LLC enrolled in Medicare?
Yes. Oklahoma Specialty Podiatry Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oklahoma Specialty Podiatry Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Oklahoma Specialty Podiatry Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Oklahoma Specialty Podiatry Services LLC was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Oklahoma Specialty Podiatry Services Llc · NPI 1306493754
Podiatric organization in Edmond, Oklahoma. Organization record, active in the CMS NPPES registry since August 21, 2019.
## Identity
- **NPI:** 1306493754 (Entity type: Organization)
- **Enumerated:** August 21, 2019
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** John Duck, CFO
## Practice location
- **Address:** 4422 WAGONWHEEL RD, Edmond, OK 73034-5962
- **Phone:** (405) 204-1703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1306493754) · Data from the CMS NPPES public registry.