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

NPI Status: Active since July 08, 2005

Contact Information

3705 NW 63RD ST
SUITE 204
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 842-9732
Fax: (405) 842-9771

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  • Individual
  • Male
  • Plastic Surgery
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About CLINTON WEBSTER

This page provides the complete NPI Profile along with additional information for Clinton Webster, a provider established in Oklahoma City, Oklahoma with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1417955063 assigned on July 2005. The practitioner's primary taxonomy code is 208200000X with license number 29518 (OK). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1417955063
Provider Name
CLINTON BRADSHAW WEBSTER M.D.
Gender
Male
Entity Type
Individual
Location Address
3705 NW 63RD ST SUITE 204 OKLAHOMA CITY, OK 73116
Location Phone
(405) 842-9732
Location Fax
(405) 842-9771
Mailing Address
3705 NW 63RD ST SUITE 204 OKLAHOMA CITY, OK 73116
Mailing Phone
(405) 842-9732
Mailing Fax
(405) 842-9771
Is Sole Proprietor?
No
Enumeration Date
07-08-2005
Last Update Date
06-13-2013
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Clinton Webster opted out of Medicare effective on 10-01-2016 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
29518
License State
OK
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1173000000XOther Service Providers

Legal Medicine

362930 (UT)
2208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

99984 (FL)
32082S0105XAllopathic & Osteopathic Physicians

Plastic Surgery
Surgery of the Hand

99984 (FL)
42082S0105XAllopathic & Osteopathic Physicians

Plastic Surgery
Surgery of the Hand

29518 (OK)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • MyBlue Bronze HMO? 902 - HMO
  • MyBlue Bronze HMO? 904 - HMO
  • MyBlue Bronze HMO? Standard - HMO
  • MyBlue Gold HMO? 704 - HMO
  • MyBlue Gold HMO? 804 - HMO
  • MyBlue Gold HMO? Standard - HMO
  • MyBlue Silver HMO? 705 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
005563404MEDICARE PIN (08)UT 
I31956MEDICARE UPIN (02)UT 
I31956MEDICARE UPIN (02)FL 

Medicare Participation & PECOS Enrollment Status

Clinton Webster is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-01-2016

  • Opt-Out End Date: 10-01-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 73116 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.46
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $20.61
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417955063, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 8 + 5 + 1 + 0 + 0 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1417955063.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417955063, enumerated as an "individual" on July 08, 2005.

The provider is located at 3705 NW 63RD ST SUITE 204 OKLAHOMA CITY, OK 73116 and the phone number is (405) 842-9732.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.