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

Q: 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.

Q: What is John Hummel's specialty?

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

Q: 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 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.

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: August 09, 2026.

On this page

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 Alliancehealth Woodward, 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

Phone(405) 755-6111

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

Open in Google Maps ↗

Other Identifiers 2

Medicaid100455610AKS

Medicaid100124790AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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 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.

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

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

118 services114 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

103 services59 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.

103 services102 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

71 services69 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.

57 services56 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

48 services31 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

45 services45 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

29 services28 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

28 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370002

Location900 17th StreetWoodward, OK 73801 · Woodward County

Emergency services

Summit Medical Center, LLC

Acute Care Hospitals · Edmond, OK

OwnershipPhysician

CMS Certification Number370225

Location1800 South Renaissance BoulevardEdmond, OK 73013 · Oklahoma 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

Quality

100

Improvement Activities

Cost

51.82

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.

ABBY R BOVA MD

Internal Medicine (Hematology & Oncology)

4205 MCAULEY BLVD, STE 375
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 751-4343

OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C

Internal Medicine (Hematology & Oncology)

4205 MCAULEY BLVD, 375
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 751-4343

DR. DIANA L. KENNEDY M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4205 MCAULEY BLVD, SUITE 420
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 751-6111

MARK B PRIVOTT O. D.

Optometrist

4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 755-6111

DR. HANNA A SAADAH M.D.

Internal Medicine (Infectious Disease)

4205 MCAULEY BLVD, SUITE 400
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 749-4260

J CHRIS HUMMEL MD PC

Ophthalmology

4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 755-6111

SHERRI C EAKINS O. D

Optometrist

4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 755-6111

OKLAHOMA CITY PAIN MANAGEMENT PLLC

Anesthesiology

4205 MCAULEY BLVD, SUITE 470
OKLAHOMA CITY, OK 73120

Oklahoma County (405) 608-0823

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.

What insurance does John Hummel accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and Providence Health Plan and 1 other insurer 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 Alliancehealth Woodward, Summit Medical Center, LLC 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 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.