TOMMY DEAN CAMP P.A.
NPI 1508807520
Physician Assistant - Medical in Edmond, OK

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
1101 NW 178TH ST, SUITE B, EDMOND, OK 73012(405) 285-2161(405) 726-8277 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2020, Dec 29, 2016 (2 updates tracked since 2016).

About Tommy Dean Camp P.a. NPPES

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

TOMMY DEAN CAMP P.A. (NPI 1508807520) is an individual medical provider in Edmond, Oklahoma, licensed in Oklahoma (880) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1508807520
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTOMMY DEAN CAMPCredential: P.A.
Location Address1101 NW 178TH ST, SUITE BEdmond, OK 73012-4281
Mailing Address1101 Nw 178th St, Suite BEdmond, OK 73012-4281 · (405) 285-2161 · Fax (405) 726-8277
Fax(405) 726-8277
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 9, 2006
Last NPPES UpdateApril 22, 20202 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
NPI 1508807520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 880
1101 NW 178TH ST, Edmond, OK 73012

Other Identifiers 1

Medicaid1002275AOK

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

Tommy Dean Camp P.a. 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 ID9931192325
PECOS Enrollment IDI20040402001400
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 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.
11 services11 patients

Other Providers at the Same Location NPPES

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

Clinic/Center (Urgent Care)
1101 NW 178TH ST, SUITE B
EDMOND, OK 73012

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 Tommy Camp's NPI number?

The NPI number for Tommy Camp is 1508807520. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Tommy Camp located?

Tommy Camp practices at 1101 NW 178th St Suite B, Edmond, OK 73012. The listed phone number is (405) 285-2161.

What is Tommy Camp's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tommy Camp enrolled in Medicare?

Yes. Tommy Camp 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 Tommy Camp accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Tommy Camp 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 Tommy Camp was last updated on April 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.