KEVIN O'NEAL D.O.
NPI 1548394752
Internal Medicine - Pulmonary Disease in Oklahoma City, OK

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112(405) 604-4577(405) 604-4578 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2021, Jun 7, 2019, Oct 4, 2018 (3 updates tracked since 2018).

About Kevin O'neal D.o. NPPES

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

KEVIN O'NEAL D.O. (NPI 1548394752) is an individual pulmonary disease provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4544) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1548394752
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKEVIN O'NEALCredential: D.O.
Location Address5501 N PORTLAND AVEOklahoma City, OK 73112-2074
Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 604-4577 · Fax (405) 604-4578
Fax(405) 604-4578
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2006
Enumeration DateMarch 16, 2007
Last NPPES UpdateJanuary 26, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1548394752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OK · 4544
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
5501 N PORTLAND AVE, Oklahoma City, OK 73112

Other Identifiers 1

Medicaid200528200AOK

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

Kevin O'neal D.o. 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 ID941466221
PECOS Enrollment IDI20120801000286
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
224 services90 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
149 services56 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.
108 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services50 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.
70 services70 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Integris Canadian Valley Hospital

Acute Care Hospitals · Yukon, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370211
Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$42.98 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$916.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$62.44 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 20

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

Nurse Anesthetist, Certified Registered
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Nurse Anesthetist, Certified Registered
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Nurse Anesthetist, Certified Registered
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Nurse Anesthetist, Certified Registered
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Nurse Practitioner
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Physician Assistant
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Registered Nurse (Gerontology)
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112
Anesthesiology
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 73112

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 O'neal's NPI number?

The NPI number for Kevin O'neal is 1548394752. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Kevin O'neal located?

Kevin O'neal practices at 5501 N Portland Ave, Oklahoma City, OK 73112. The listed phone number is (405) 604-4577.

What is Kevin O'neal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kevin O'neal enrolled in Medicare?

Yes. Kevin O'neal 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 Kevin O'neal accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Kevin O'neal 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 O'neal affiliated with any hospitals?

According to CMS data, Kevin O'neal is affiliated with Integris Baptist Medical Center, Inc, Integris Southwest Medical Center, Integris Canadian Valley Hospital and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Kevin O'neal was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.