MCKOTAH BRICE SMITH PA
NPI 1508508409
Physician Assistant in Healdton, OK

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment
3462 HOSPITAL RD, HEALDTON, OK 73438(580) 229-0701 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mckotah Brice Smith Pa NPPES

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

MCKOTAH BRICE SMITH PA (NPI 1508508409) is an individual physician assistant in Healdton, Oklahoma and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Healdton, Inc., and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508508409
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMCKOTAH BRICE SMITHCredential: PA
Location Address3462 HOSPITAL RDHealdton, OK 73438-6124
Mailing Address3462 Hospital RdHealdton, OK 73438-6124 · (580) 229-0701
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 11, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1508508409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3462 HOSPITAL RD, Healdton, OK 73438

Accepted 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

Mckotah Brice Smith Pa 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 ID7911387055
PECOS Enrollment IDI20220706003499
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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Healdton, Inc.

Critical Access Hospitals · Healdton, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371310
Location3462 Hospital RdHealdton, OK 73438 · Carter County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73438 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 5

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

Medicare Defined Swing Bed Unit
3462 HOSPITAL RD
HEALDTON, OK 73438
General Acute Care Hospital (Critical Access)
3462 HOSPITAL RD
HEALDTON, OK 73438
General Acute Care Hospital (Critical Access)
3462 HOSPITAL RD
HEALDTON, OK 73438
Physician Assistant
3462 HOSPITAL RD
HEALDTON, OK 73438
Physician Assistant (Medical)
3462 HOSPITAL RD
HEALDTON, OK 73438

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 Mckotah Smith's NPI number?

The NPI number for Mckotah Smith is 1508508409. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Mckotah Smith located?

Mckotah Smith practices at 3462 Hospital Rd, Healdton, OK 73438. The listed phone number is (580) 229-0701.

What is Mckotah Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mckotah Smith enrolled in Medicare?

Yes. Mckotah Smith 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 Mckotah Smith accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and UnitedHealthcare list Mckotah Smith 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 Mckotah Smith affiliated with any hospitals?

According to CMS data, Mckotah Smith is affiliated with Mercy Hospital Healdton, Inc..

When was this NPI record last updated?

The NPPES record for Mckotah Smith was last updated on June 23, 2022. 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.