DUSTIN CUPP D.O.
NPI 1417113226
Family Medicine in Tulsa, OK

Q: What is Dustin Cupp's NPI number?

The NPI number for Dustin Cupp is 1417113226. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Q: What is Dustin Cupp's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dustin Cupp was last updated on December 3, 2018. 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.

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment

7501 RIVERSIDE PKWY, TULSA, OK 74136(918) 710-4200(918) 403-6331 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2018, Sep 25, 2018 (2 updates tracked since 2018).

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About Dustin Cupp D.o. NPPES

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

DUSTIN CUPP D.O. (NPI 1417113226) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (4632) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1417113226

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDUSTIN CUPPCredential: D.O.

Location Address7501 RIVERSIDE PKWYTulsa, OK 74136-5056

Mailing Address7501 Riverside PkwyTulsa, OK 74136-5056 · (918) 710-4200 · Fax (918) 403-6331

Phone(918) 710-4200

Fax(918) 403-6331

Sole ProprietorNo

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2007

Enumeration DateJuly 31, 2008

Last NPPES UpdateDecember 3, 20182 updates tracked since enumeration

✔ NPI 1417113226 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 · 4632

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.

7501 RIVERSIDE PKWY, Tulsa, OK 74136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

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

Dustin Cupp 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 ID6800956517

PECOS Enrollment IDI20081125000111

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

Medicare enrollment records show Dustin Cupp reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Omni Medical Group Inc

5.5 mi

Internal Medicine

1923 S UTICA AVE, DAVIS TOWER 200
Tulsa, OK 74104

Reassigned Medicare billing, Oklahoma enrollment
181 clinicians in this Medicare group

NPI 1174578249 (918) 744-2345

St. John Physicians, Inc.

5.5 mi

Internal Medicine

1923 S UTICA AVE, DAVIS TOWER 200
Tulsa, OK 74104

Reassigned Medicare billing, Oklahoma enrollment
820 clinicians in this Medicare group

NPI 1336194406 (918) 744-2345

Ahs Oklahoma Physician Group LLC

6.4 mi

Family Medicine

1120 S UTICA AVE STE 100
Tulsa, OK 74104

Reassigned Medicare billing, Oklahoma enrollment
340 clinicians in this Medicare group

NPI 1235182775 (918) 579-3826

Apogee Medical Group Kentucky Psc

662 mi

General Practice

1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701

Reassigned Medicare billing, Kentucky enrollment
93 clinicians in this Medicare group

NPI 1356503114 (606) 528-1212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services47 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

58 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

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.

26 services24 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

12 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370001

Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370039

Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County

Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370091

Location6161 South YaleTulsa, OK 74136 · Tulsa County

Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370202

Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County

Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK

OwnershipProprietary

CMS Certification Number370228

Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$12.38 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$58.59 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.14 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.

CHARLES C POWELL MD

Family Medicine