JONATHAN K BUSHMAN DO
NPI 1508182619
Family Medicine in Enid, OK

Q: What is Jonathan Bushman's NPI number?

The NPI number for Jonathan Bushman is 1508182619. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Q: What is Jonathan Bushman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Jonathan Bushman enrolled in Medicare?

No. Jonathan Bushman has opted out of Medicare through December 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Bushman was last updated on September 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 14, 2010Opted out of Medicare · through Dec 20, 2027

822 W RANDOLPH AVE, ENID, OK 73701(580) 599-0272(580) 603-8602 Get Directions Write a Review

NPPES record last updated: September 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2021, Jan 23, 2020, Jan 20, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Jonathan K Bushman Do NPPES

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

JONATHAN K BUSHMAN DO (NPI 1508182619) is an individual family medicine provider in Enid, Oklahoma, licensed in Oklahoma (5032) and active in the NPI registry since April 2010. He has opted out of Medicare through December 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508182619

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN K BUSHMANCredential: DO

Location Address822 W RANDOLPH AVEEnid, OK 73701-3834

Mailing Address822 W Randolph AveEnid, OK 73701-3834 · (580) 599-0272 · Fax (580) 603-8602

Phone(580) 599-0272

Fax(580) 603-8602

Sole ProprietorNo

Enumeration DateApril 14, 2010

Last NPPES UpdateSeptember 19, 20215 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2021

✔ NPI 1508182619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 5032

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

822 W RANDOLPH AVE, Enid, OK 73701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jonathan K Bushman Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 20, 2023 through December 20, 2027.

Opt-Out Effective DateDecember 20, 2023

Opt-Out In Effect ThroughDecember 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers24 claims24 services$6.28 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers11 claims11 services$49.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$84.92 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$159.23 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 5

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

RELIANT HEALTH & WELLNESS PLLC

Family Medicine