JOHN MARK GILCHRIST M.D.
NPI 1609834142
Otolaryngology in Edmond, OK
About John Mark Gilchrist M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MARK GILCHRIST M.D. (NPI 1609834142) is an individual otolaryngology provider in Edmond, Oklahoma, licensed in Oklahoma (16187) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Health Edmond Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
John Mark Gilchrist 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Integris Health Edmond Hospital
Acute Care Hospitals · Edmond, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
EDMOND, OK 73013
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 John Gilchrist's NPI number?
The NPI number for John Gilchrist is 1609834142. It was assigned to this individual provider in the NPPES registry on May 3, 2006.
Where is John Gilchrist located?
John Gilchrist practices at 3824 S Boulevard Suite 160, Edmond, OK 73013. The listed phone number is (405) 562-1810.
What is John Gilchrist's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is John Gilchrist enrolled in Medicare?
Yes. John Gilchrist 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 John Gilchrist accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list John Gilchrist 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 John Gilchrist affiliated with any hospitals?
According to CMS data, John Gilchrist is affiliated with Integris Health Edmond Hospital.
When was this NPI record last updated?
The NPPES record for John Gilchrist was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# John Mark Gilchrist, M.D. · NPI 1609834142
Otolaryngology physician in Edmond, Oklahoma. Individual provider, active in the CMS NPPES registry since May 3, 2006.
## Identity
- **NPI:** 1609834142 (Entity type: Individual)
- **Enumerated:** May 3, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 16187 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3824 S BOULEVARD, SUITE 160, Edmond, OK 73013-5778
- **Phone:** (405) 562-1810 · **Fax:** (405) 562-1816
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1986
## Record status
- **NPPES last updated:** June 1, 2016
- **Other identifiers:** Medicaid 100090320 A (OK); Medicare PIN 248305101 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1609834142) · Data from the CMS NPPES public registry.