DR. BILLY DON SCHUMPERT D.O.
NPI 1306885934
Family Medicine in Cleveland, OK

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
1400 W PAWNEE ST, CLEVELAND, OK 74020(918) 358-3588(918) 358-2639 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Billy Don Schumpert D.o. NPPES

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

DR. BILLY DON SCHUMPERT D.O. (NPI 1306885934) is an individual family medicine provider in Cleveland, Oklahoma, licensed in Oklahoma (2548) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Area Hospital, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1985).

NPPES Registry Identity

NPI1306885934
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BILLY DON SCHUMPERTCredential: D.O.
Location Address1400 W PAWNEE STCleveland, OK 74020-3020
Mailing Address1400 W Pawnee StCleveland, OK 74020-3020 · (918) 358-3588 · Fax (918) 358-2639
Fax(918) 358-2639
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1985
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
NPI 1306885934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 2548
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 W PAWNEE ST, Cleveland, OK 74020

Other Identifiers 1

Medicaid100118670AOK

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. Billy Don Schumpert D.o. 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 ID8325043607
PECOS Enrollment IDI20060919000563
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Area Hospital

Critical Access Hospitals · Cleveland, OK
OwnershipGovernment - Local
CMS Certification Number371320
Location1401 West PawneeCleveland, OK 74020 · Pawnee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74020 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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%4,961 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
14%436 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%312 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%1,299 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%1,299 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%1,299 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%1,299 patients
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 10

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$86.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers12 claims33 services$34.62 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers15 claims15 services$16.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims67 services$2.60 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$33.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers46 claims46 services$12.62 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 8

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

Family Medicine
1400 W PAWNEE ST
CLEVELAND, OK 74020
General Practice
1400 W PAWNEE ST
CLEVELAND, OK 74020
Nurse Practitioner (Pediatrics)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Clinic/Center (Rural Health)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Family Medicine
1400 W PAWNEE ST
CLEVELAND, OK 74020
Nurse Practitioner (Family)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Physician Assistant (Medical)
1400 W PAWNEE ST
CLEVELAND, OK 74020
Family Medicine
1400 W PAWNEE ST
CLEVELAND, OK 74020

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 Billy Schumpert's NPI number?

The NPI number for Billy Schumpert is 1306885934. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Billy Schumpert located?

Billy Schumpert practices at 1400 W Pawnee St, Cleveland, OK 74020. The listed phone number is (918) 358-3588.

What is Billy Schumpert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Billy Schumpert enrolled in Medicare?

Yes. Billy Schumpert 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 Billy Schumpert accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Billy Schumpert 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.

Is Billy Schumpert affiliated with any hospitals?

According to CMS data, Billy Schumpert is affiliated with Cleveland Area Hospital.

When was this NPI record last updated?

The NPPES record for Billy Schumpert was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.