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DR. KYLE C WOODERSON D.O.
NPI 1508095977
Surgery in Grove, OK

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment
601 E 13TH ST, STE H, GROVE, OK 74344(918) 786-7300(918) 786-7303 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kyle C Wooderson D.o. NPPES

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

DR. KYLE C WOODERSON D.O. (NPI 1508095977) is an individual surgery provider in Grove, Oklahoma, licensed in Oklahoma (4824) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Integris Miami Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1508095977
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KYLE C WOODERSONCredential: D.O.
Location Address601 E 13TH ST, STE HGrove, OK 74344-2989
Mailing Address5300 N Independence Ave, 280Oklahoma City, OK 73112-5556 · (918) 786-7300 · Fax (918) 786-7303
Phone(918) 786-7300
Fax(918) 786-7303
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 7, 2009
Last NPPES UpdateApril 5, 2017
✔ NPI 1508095977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 4824
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
601 E 13TH ST, Grove, OK 74344
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Other Identifiers 4

Medicaid200505990OOK
Medicare PIN900522214OK
Medicare PIN298030YKW9OK
Medicaid200254780AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica 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. Kyle C Wooderson D.o. 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 ID1951585769
PECOS Enrollment IDI20110401000614
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 12

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.
93 services72 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.
65 services55 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
62 services61 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
43 services43 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.
43 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Integris Miami Hospital

Acute Care Hospitals · Miami, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number370004
Location200 Second Avenue SouthwestMiami, OK 74355 · Ottawa County
Emergency services Birthing friendly

Integris Grove Hospital

Acute Care Hospitals · Grove, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370113
Location1001 East 18th StreetGrove, OK 74344 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74344 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 7

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

NORTHEAST OKLAHOMA FAMILY PRACTICE & OBSTETRICS
Family Medicine
601 E 13TH ST, SUITE H
GROVE, OK 74344
Delaware County (918) 786-4664
INTEGRIS GROVE HOSPITAL
Clinic/Center (Rural Health)
601 E 13TH ST, STE A, C, G & H
GROVE, OK 74344
Delaware County (918) 786-2243
DR. KYLE J SCHAUF MD
Family Medicine
601 E 13TH ST, SUITE G
GROVE, OK 74344
Delaware County (918) 786-9009
DANIEL LEE NICOLL DO
Family Medicine
601 E 13TH ST, SUITE C
GROVE, OK 74344
Delaware County (918) 786-7878
RONALD MARK FORRISTALL MD
Orthopaedic Surgery
601 E 13TH ST, SUITE G
GROVE, OK 74344
Delaware County (918) 786-3391
STACIA KAYLEE HOMAN APRN, PNP-PC
Nurse Practitioner (Pediatrics)
601 E 13TH ST
GROVE, OK 74344
Delaware County (918) 786-9009
CHARLES A TULLIS CFA
Specialist/Technologist, Other (Surgical Assistant)
601 E 13TH ST, SUITE G
GROVE, OK 74344
Delaware County (918) 786-3391

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 Kyle Wooderson's NPI number?

The NPI number for Kyle Wooderson is 1508095977. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Kyle Wooderson located?

Kyle Wooderson practices at 601 E 13th St Ste H, Grove, OK 74344. The listed phone number is (918) 786-7300.

What is Kyle Wooderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kyle Wooderson enrolled in Medicare?

Yes. Kyle Wooderson 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 Kyle Wooderson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Kyle Wooderson 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 Kyle Wooderson affiliated with any hospitals?

According to CMS data, Kyle Wooderson is affiliated with Integris Miami Hospital and Integris Grove Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Wooderson was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.