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KEVIN WAYNE HARGROVE M.D.
NPI 1538158985
Specialist in Edmond, OK

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
29.94/100
CMS Quality Rating
101 S SAINTS BLVD STE 101, EDMOND, OK 73034(405) 513-8326(405) 513-7739 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Wayne Hargrove M.d. NPPES

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

KEVIN WAYNE HARGROVE M.D. (NPI 1538158985) is an individual specialist in Edmond, Oklahoma, licensed in Oklahoma (16493) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Oklahoma Center For Orthopaedic & Multi-sp, and is a graduate of University Of Oklahoma College Of Medicine (1987).

NPPES Registry Identity

NPI1538158985
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKEVIN WAYNE HARGROVECredential: M.D.
Location Address101 S SAINTS BLVD STE 101Edmond, OK 73034-3082
Mailing Address101 S Saints Blvd Ste 101Edmond, OK 73034-3082 · (405) 513-8326 · Fax (405) 513-7739
Phone(405) 513-8326
Fax(405) 513-7739
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1987
Enumeration DateOctober 18, 2005
Last NPPES UpdateSeptember 13, 2019
✔ NPI 1538158985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 16493
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
101 S SAINTS BLVD STE 101, Edmond, OK 73034
Open in Google Maps ↗

Other Identifiers 1

Medicaid100101900AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Wayne Hargrove 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 ID345228516
PECOS Enrollment IDI20040714001008
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Hargrove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic Solutions PLLC
3.6 mi
Orthopaedic Surgery
101 S SAINTS BLVD, SUITE 101
Edmond, OK 73034
  • Reassigned Medicare billing, Oklahoma enrollment
  • 3 clinicians in this Medicare group
NPI 1942659982 (405) 513-8326

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
24 services22 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
24 services21 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.
24 services24 patients
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.
24 services21 patients
X-ray of spine, 1 view 72020
An X-ray of the spine, 1 view, is a quick and painless imaging procedure. It uses radiation to capture images of the bones in your spine. It helps in detecting issues like fractures, infections, or tumors. You'll be positioned, the machine captures the image, and you're done. It's a safe, routine procedure.
21 services21 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Oklahoma Center For Orthopaedic & Multi-Sp

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370212
Location8100 South Walker Bldg COklahoma City, OK 73139 · Oklahoma County

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.

29.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.74
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

MRS. HANNAH COX RDN
Dietitian, Registered
101 S SAINTS BLVD STE 101
EDMOND, OK 73034
Oklahoma County (405) 513-8326
MS. DANIELLE VIRGINIA JOHNSEN PTA, AAS
Physical Therapy Assistant
101 S SAINTS BLVD STE 101
EDMOND, OK 73034
Oklahoma County (405) 359-1864
DR. SHEA CHARBENEAU DPM
Podiatrist (Foot & Ankle Surgery)
101 S SAINTS BLVD STE 101
EDMOND, OK 73034
Oklahoma County (405) 513-8326

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 Kevin Hargrove's NPI number?

The NPI number for Kevin Hargrove is 1538158985. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Kevin Hargrove located?

Kevin Hargrove practices at 101 S Saints Blvd Ste 101, Edmond, OK 73034. The listed phone number is (405) 513-8326.

What is Kevin Hargrove's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kevin Hargrove enrolled in Medicare?

Yes. Kevin Hargrove 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.

Which organization bills Medicare for Kevin Hargrove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Hargrove reassigns Medicare benefits to Orthopedic Solutions PLLC (Edmond, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Hargrove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Hargrove accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kevin Hargrove 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 Kevin Hargrove affiliated with any hospitals?

According to CMS data, Kevin Hargrove is affiliated with Oklahoma Center For Orthopaedic & Multi-Sp.

When was this NPI record last updated?

The NPPES record for Kevin Hargrove was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.