CLINTON BRADSHAW WEBSTER M.D.
NPI 1417955063
Plastic Surgery in Oklahoma City, OK

Active since July 08, 2005Opted out of Medicare · through Oct 1, 2026
3705 NW 63RD ST, SUITE 204, OKLAHOMA CITY, OK 73116(405) 842-9732(405) 842-9771 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinton Bradshaw Webster M.d. NPPES

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

CLINTON BRADSHAW WEBSTER M.D. (NPI 1417955063) is an individual plastic surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (29518) and active in the NPI registry since July 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417955063
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameCLINTON BRADSHAW WEBSTERCredential: M.D.
Location Address3705 NW 63RD ST, SUITE 204Oklahoma City, OK 73116-1935
Mailing Address3705 Nw 63rd St, Suite 204Oklahoma City, OK 73116-1935 · (405) 842-9732 · Fax (405) 842-9771
Fax(405) 842-9771
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateJune 13, 2013
NPI 1417955063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses Licensed in OK · 29518 Licensed in FL · 99984
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedLegal MedicineTaxonomy 173000000X · License 362930 (UT)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 99984 (FL), 29518 (OK)
3705 NW 63RD ST, Oklahoma City, OK 73116

Other Identifiers 3

Medicare PIN005563404UT
Medicare UPINI31956UT
Medicare UPINI31956FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Clinton Bradshaw Webster M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73116 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
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

Physical Therapist
3705 NW 63RD ST, SUITE 208
OKLAHOMA CITY, OK 73116
Clinic/Center (Ambulatory Surgical)
3705 NW 63RD ST, STE 100
OKLAHOMA CITY, OK 73116
Durable Medical Equipment & Medical Supplies
3705 NW 63RD ST, STE. 204
OKLAHOMA CITY, OK 73116
Durable Medical Equipment & Medical Supplies
3705 NW 63RD ST, STE 201
OKLAHOMA CITY, OK 73116
Anesthesiology
3705 NW 63RD ST
OKLAHOMA CITY, OK 73116
Clinical Medical Laboratory
3705 NW 63RD ST, SUITE 101
OKLAHOMA CITY, OK 73116
Plastic Surgery
3705 NW 63RD ST, SUITE 204
OKLAHOMA CITY, OK 73116
Registered Nurse (Registered Nurse First Assistant)
3705 NW 63RD ST, STE 204
OKLAHOMA CITY, OK 73116

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 Clinton Webster's NPI number?

The NPI number for Clinton Webster is 1417955063. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Clinton Webster located?

Clinton Webster practices at 3705 NW 63rd St Suite 204, Oklahoma City, OK 73116. The listed phone number is (405) 842-9732.

What is Clinton Webster's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Clinton Webster enrolled in Medicare?

No. Clinton Webster has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Clinton Webster accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Clinton Webster 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 Clinton Webster was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.