MATTHEW THEODORE DRAELOS MD
NPI 1437221694
Internal Medicine - Endocrinology, Diabetes & Metabolism in Edmond, OK

Q: What is Matthew Draelos's NPI number?

The NPI number for Matthew Draelos is 1437221694. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Matthew Draelos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Draelos was last updated on October 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment

9.46/100

CMS Quality Rating

200 N BRYANT AVE, SUITE 100, EDMOND, OK 73034(405) 330-2362(405) 330-2363 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Matthew Theodore Draelos Md NPPES

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

MATTHEW THEODORE DRAELOS MD (NPI 1437221694) is an individual endocrinology, diabetes & metabolism provider in Edmond, Oklahoma, licensed in Oklahoma (15748) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of University Of New Mexico School Of Medicine (1985).

NPPES Registry Identity

NPI1437221694

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameMATTHEW THEODORE DRAELOSCredential: MD

Location Address200 N BRYANT AVE, SUITE 100Edmond, OK 73034-6273

Mailing Address200 N Bryant Ave, Suite 100Edmond, OK 73034-6273 · (405) 330-2362 · Fax (405) 330-2363

Phone(405) 330-2362

Fax(405) 330-2363

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1985

Enumeration DateNovember 14, 2006

Last NPPES UpdateOctober 22, 2008

✔ NPI 1437221694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in OK · 15748

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

200 N BRYANT AVE, Edmond, OK 73034

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Other Identifiers 2

OtherOK401293OK · Medicare Tpan

Medicare UPINE27635

Accepted Insurance

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

Matthew Theodore Draelos 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.

PECOS PAC ID7315939022

PECOS Enrollment IDI20080701000286

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.

Areas of Expertise CMS Part B claims 15

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.

1,155 services621 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

514 services303 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

312 services146 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

195 services149 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

163 services149 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.

99 services94 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

83 services77 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

82 services82 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

74 services74 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.

40 services40 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.

32 services15 patients

Fine needle aspiration biopsy, first growth 10021

A fine needle aspiration biopsy involves using a thin needle to collect cells from a growth for testing. This procedure helps identify if the growth is benign (non-cancerous) or malignant (cancerous). It's a quick, safe way to gather necessary information about your health.

23 services23 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

17 services16 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

15 services14 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73034 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

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.

9.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

31.53

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

9 suppliers51 claims647 services$17.97 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

9 suppliers47 claims1,411 services$2.23 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

3 suppliers25 claims25 services$174.32 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

35 suppliers110 claims437 services$6.36 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers20 claims29 services$1.12 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

4 suppliers47 claims47 services$316.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

SUSAN T REDWINE MD

Pediatrics

200 N BRYANT AVE
EDMOND, OK 73034

Oklahoma County (405) 330-7000

REBECCA J DANIELS M.D.

Family Medicine

200 N BRYANT AVE
EDMOND, OK 73034

Oklahoma County (405) 330-7000

DANIELLE F JOHNSON PTA

Physical Therapy Assistant

200 N BRYANT AVE
EDMOND, OK 73034

Oklahoma County (702) 338-9733

JENNIFER J. ALLEN RD, LD

Dietitian, Registered

200 N BRYANT AVE, SUITE 100
EDMOND, OK 73034

Oklahoma County (405) 330-2363

ELIZABETH BURNER PA-C

Physician Assistant

200 N BRYANT AVE
EDMOND, OK 73034

Oklahoma County (405) 330-7000

MATTHEW T DRAELOS MD PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

200 N BRYANT AVE, SUITE 100
EDMOND, OK 73034

Oklahoma County (405) 330-2362

CHRISTOPHER BRILEY DPT

Physical Therapist

200 N BRYANT AVE
EDMOND, OK 73034

Oklahoma County (405) 471-5444

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 Matthew Draelos's NPI number?

The NPI number for Matthew Draelos is 1437221694. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Matthew Draelos located?

Matthew Draelos practices at 200 N Bryant Ave Suite 100, Edmond, OK 73034. The listed phone number is (405) 330-2362.

What is Matthew Draelos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Matthew Draelos enrolled in Medicare?

Yes. Matthew Draelos 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 Matthew Draelos accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Matthew Draelos 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 Matthew Draelos affiliated with any hospitals?

According to CMS data, Matthew Draelos is affiliated with Mercy Hospital Oklahoma City, Inc and Integris Baptist Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Matthew Draelos was last updated on October 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.