DR. THERESA SUZANNE GARTON MD
NPI 1437180858
Psychiatry & Neurology - Psychiatry in Oklahoma City, OK
About Dr. Theresa Suzanne Garton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THERESA SUZANNE GARTON MD (NPI 1437180858) is an individual psychiatry provider in Oklahoma City, Oklahoma, licensed in Oklahoma (14513) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Theresa Suzanne Garton Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Garton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73114
- Reassigned Medicare billing, Oklahoma enrollment
- 117 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Theresa Garton's NPI number?
The NPI number for Theresa Garton is 1437180858. It was assigned to this individual provider in the NPPES registry on July 5, 2006.
Where is Theresa Garton located?
Theresa Garton practices at 721 W Britton Rd, Oklahoma City, OK 73114. The listed phone number is (405) 632-6688.
What is Theresa Garton's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Theresa Garton enrolled in Medicare?
Yes. Theresa Garton 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.
Which organizations bill Medicare for Theresa Garton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Garton reassigns Medicare benefits to 2 organizations: Variety Care, Inc. (Oklahoma City, OK) and Integris Ambulatory Care Corporation (Oklahoma City, OK). Each 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 Theresa Garton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Garton accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Theresa Garton 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 Theresa Garton was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Theresa Suzanne Garton, MD · NPI 1437180858
Psychiatry physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1437180858 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 14513 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 721 W BRITTON RD, Oklahoma City, OK 73114-2909
- **Phone:** (405) 632-6688
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Variety Care, Inc. (NPI 1306352547, Oklahoma City, OK); Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1982
## Record status
- **NPPES last updated:** January 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1437180858) · Data from the CMS NPPES public registry.