PAUL A. BRIGGS M.D.
NPI 1528064805
Family Medicine in Blackwell, OK

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
94.81/100
CMS Quality Rating
1009 W FERGUSON AVE, BLACKWELL, OK 74631(580) 363-0052(580) 363-0894 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul A. Briggs M.d. NPPES

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

PAUL A. BRIGGS M.D. (NPI 1528064805) is an individual family medicine provider in Blackwell, Oklahoma, licensed in Oklahoma (20271) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Integris Health Ponca City, and is a graduate of University Of Oklahoma College Of Medicine (1996).

NPPES Registry Identity

NPI1528064805
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL A. BRIGGSCredential: M.D.
Location Address1009 W FERGUSON AVEBlackwell, OK 74631-5602
Mailing Address1009 W Ferguson AveBlackwell, OK 74631-5602 · (580) 363-0052 · Fax (580) 363-0894
Fax(580) 363-0894
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1996
Enumeration DateJune 22, 2005
Last NPPES UpdateApril 2, 2008
NPI 1528064805 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 · 20271
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.
1009 W FERGUSON AVE, Blackwell, OK 74631

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

Paul A. Briggs M.d. 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 ID3476440090
PECOS Enrollment IDI20040228000563
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 20

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.
1,078 services372 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
568 services56 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.
307 services200 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
304 services48 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
243 services47 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
135 services90 patients

Hospital Affiliations CMS Care Compare 4

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

Integris Health Ponca City

Acute Care Hospitals · Ponca City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370006
Location1900 North 14th StreetPonca City, OK 74601 · Kay County
Emergency services

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370026
Location305 South 5th StreetEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74631 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.

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.

94.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost82.71

Reported Quality Measures

Breast Cancer Screening
100%205 patients5/55-star benchmark: 93%
Cervical Cancer Screening
38%145 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
75%473 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
53%503 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
27%30 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%136 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%3,402 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
34%724 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 684 patients
Patients screened: 95% · 684 patients
99%82 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 529 patients
Patients totalRate: 0% · 529 patients
0%529 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers24 claims57 services$5.53 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers17 claims17 services$45.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$106.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers25 claims25 services$63.61 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers19 claims19 services$20.11 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$22.30 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 6

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

Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Physician Assistant
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Clinic/Center (Primary Care)
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Clinic/Center (VA)
1009 W FERGUSON AVE, BLACKWELL FAMILY MEDICINE
BLACKWELL, OK 74631
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631

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 Paul Briggs's NPI number?

The NPI number for Paul Briggs is 1528064805. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Paul Briggs located?

Paul Briggs practices at 1009 W Ferguson Ave, Blackwell, OK 74631. The listed phone number is (580) 363-0052.

What is Paul Briggs's specialty?

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

Is Paul Briggs enrolled in Medicare?

Yes. Paul Briggs 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 Paul Briggs accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Paul Briggs 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 Paul Briggs affiliated with any hospitals?

According to CMS data, Paul Briggs is affiliated with Integris Health Ponca City, St Mary's Regional Medical Center, Stillwater Medical Center and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Briggs was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.