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NATHANAEL PATRON OD
NPI 1548065089
Optometrist in Tahlequah, OK

Active since February 18, 2025PECOS EnrolledAccepts Medicare Assignment
870 EAST CRAFTON ST, TAHLEQUAH, OK 74464(918) 444-4000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Feb 18, 2025 (2 updates tracked since 2025).

About Nathanael Patron Od NPPES

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

NATHANAEL PATRON OD (NPI 1548065089) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (3311) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548065089
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNATHANAEL PATRONCredential: OD
Location Address870 EAST CRAFTON STTahlequah, OK 74464-7017
Mailing AddressPo Box 1852Tahlequah, OK 74465-1852 · (316) 587-5554
Phone(918) 444-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 18, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1548065089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OK · 3311
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
870 EAST CRAFTON ST, Tahlequah, OK 74464
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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

Nathanael Patron Od 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 ID9133621972
PECOS Enrollment IDI20250909002341, I20251015001475
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 2

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
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.

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 Nathanael Patron's NPI number?

The NPI number for Nathanael Patron is 1548065089. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Where is Nathanael Patron located?

Nathanael Patron practices at 870 East Crafton St, Tahlequah, OK 74464. The listed phone number is (918) 444-4000.

What is Nathanael Patron's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nathanael Patron enrolled in Medicare?

Yes. Nathanael Patron 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.

Is Nathanael Patron affiliated with any hospitals?

According to CMS data, Nathanael Patron is affiliated with Northeastern Health System and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Nathanael Patron was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.