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DR. RACHEL WIRGINIS DO
NPI 1437642279
Family Medicine - Addiction Medicine in Tulsa, OK

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
5310 E 31ST ST FL 11, TULSA, OK 74135(918) 584-4364(918) 584-5394 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2023, Jul 20, 2022, Jul 6, 2022 (3 updates tracked since 2022).

About Dr. Rachel Wirginis Do NPPES

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

DR. RACHEL WIRGINIS DO (NPI 1437642279) is an individual addiction medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (6803) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1437642279
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameDR. RACHEL WIRGINISCredential: DO
Location Address5310 E 31ST ST FL 11Tulsa, OK 74135-5018
Mailing Address5310 E 31st St Fl 13Tulsa, OK 74135-5018 · (918) 561-5701 · Fax (918) 561-1173
Phone(918) 584-4364
Fax(918) 584-5394
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 6, 2018
Last NPPES UpdateJanuary 20, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1437642279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in OK · 6803
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 6803 (OK)
5310 E 31ST ST FL 11, Tulsa, OK 74135
Open in Google Maps ↗

Secondary Practice Location 1

Location 15310 E 31st St Ste 1102Tulsa, OK 74135-5018 · Phone (918) 561-1890 · Fax (918) 561-1889

Other Identifiers 1

Other0N/a

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

Dr. Rachel Wirginis Do 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 ID3870975279
PECOS Enrollment IDI20220802001333
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 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.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.69
Promoting Interoperability99
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 3

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

OKLAHOMA STATE UNIVERSITY
Clinic/Center (Medical Specialty)
5310 E 31ST ST FL 11
TULSA, OK 74135
Tulsa County (918) 584-5364
MALINDA ARRINGTON ARNP
Nurse Practitioner (Family)
5310 E 31ST ST FL 11
TULSA, OK 74135
Tulsa County (918) 584-5364
JENNY J ALEXOPULOS DO
Family Medicine
5310 E 31ST ST FL 11
TULSA, OK 74135
Tulsa County (918) 584-5364

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 Rachel Wirginis's NPI number?

The NPI number for Rachel Wirginis is 1437642279. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Rachel Wirginis located?

Rachel Wirginis practices at 5310 E 31st St Fl 11, Tulsa, OK 74135. The listed phone number is (918) 584-4364.

What is Rachel Wirginis's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Rachel Wirginis enrolled in Medicare?

Yes. Rachel Wirginis 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 Rachel Wirginis 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 6 other insurers list Rachel Wirginis 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 Rachel Wirginis was last updated on January 20, 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.