JOHN CHRIS HUMMEL M.D
NPI 1609860873
Ophthalmology in Oklahoma City, OK

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
85.54/100
CMS Quality Rating
4205 MCAULEY BLVD, OKLAHOMA CITY, OK 73120(405) 755-6111(405) 755-6298 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John Chris Hummel M.d NPPES

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

JOHN CHRIS HUMMEL M.D (NPI 1609860873) is an individual ophthalmology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (19601) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of University Of Oklahoma College Of Medicine (1993).

NPPES Registry Identity

NPI1609860873
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN CHRIS HUMMELCredential: M.D
Location Address4205 MCAULEY BLVDOklahoma City, OK 73120-8347
Mailing Address4205 Mcauley BlvdOklahoma City, OK 73120-8347 · (405) 755-6111 · Fax (405) 755-6298
Fax(405) 755-6298
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1993
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1609860873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OK · 19601
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4205 MCAULEY BLVD, Oklahoma City, OK 73120

Other Identifiers 2

Medicaid100455610AKS
Medicaid100124790AOK

Accepted 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

John Chris Hummel 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 ID5597861211
PECOS Enrollment IDI20100324001101
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 Reassignments

2

Medicare enrollment records show John Hummel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
14701 N SANTA FE AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 20 clinicians in this Medicare group
Clinic/Center
1630 SANTA FE ST
Waynoka, OK 73860
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: Alva Hospital Authority
  • 23 clinicians in this Medicare group

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 15

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
725 services413 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
571 services364 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.
408 services408 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
208 services131 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
206 services206 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
160 services151 patients

Hospital Affiliations CMS Care Compare 3

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370002
Location900 17th StreetWoodward, OK 73801 · Woodward County
Emergency services

Share Medical Center

Critical Access Hospitals · Alva, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371341
Location800 Share DriveAlva, OK 73717 · Woods County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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.

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.

85.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost51.82

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers11 claims11 services$50.19 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.

Internal Medicine (Hematology & Oncology)
4205 MCAULEY BLVD, STE 375
OKLAHOMA CITY, OK 73120
Internal Medicine (Hematology & Oncology)
4205 MCAULEY BLVD, 375
OKLAHOMA CITY, OK 73120
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4205 MCAULEY BLVD, SUITE 420
OKLAHOMA CITY, OK 73120
Optometrist
4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Internal Medicine (Infectious Disease)
4205 MCAULEY BLVD, SUITE 400
OKLAHOMA CITY, OK 73120
Ophthalmology
4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Optometrist
4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Anesthesiology
4205 MCAULEY BLVD, SUITE 470
OKLAHOMA CITY, OK 73120

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 Hummel's NPI number?

The NPI number for John Hummel is 1609860873. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is John Hummel located?

John Hummel practices at 4205 Mcauley Blvd, Oklahoma City, OK 73120. The listed phone number is (405) 755-6111.

What is John Hummel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Hummel enrolled in Medicare?

Yes. John Hummel 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 organizations bill Medicare for John Hummel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Hummel reassigns Medicare benefits to 2 organizations: Britton Vision Associates Inc (Edmond, OK) and Alva Hospital Authority/Dba Share Medical Center (Waynoka, OK). Each 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 John Hummel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Hummel 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 13 other insurers list John Hummel 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 Hummel affiliated with any hospitals?

According to CMS data, John Hummel is affiliated with Ohio State University State Health System, Alliancehealth Woodward and Share Medical Center.

When was this NPI record last updated?

The NPPES record for John Hummel was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.