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MATTHEW TYLER MARR MD
NPI 1619395175
Surgery - Plastic and Reconstructive Surgery in Edmond, OK

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
4509 INTEGRIS PKWY STE 300, EDMOND, OK 73034(405) 657-3704(405) 657-3892 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Dec 3, 2020, May 16, 2020 and 3 more (6 updates tracked since 2019).

About Matthew Tyler Marr Md NPPES

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

MATTHEW TYLER MARR MD (NPI 1619395175) is an individual plastic and reconstructive surgery provider in Edmond, Oklahoma, licensed in Oklahoma (34899) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1619395175
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMATTHEW TYLER MARRCredential: MD
Location Address4509 INTEGRIS PKWY STE 300Edmond, OK 73034-8696
Mailing Address3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640 · (405) 657-3704 · Fax (405) 657-3892
Phone(405) 657-3704
Fax(405) 657-3892
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateAugust 13, 20246 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1619395175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in OK · 34899
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4509 INTEGRIS PKWY STE 300, Edmond, OK 73034
Open in Google Maps ↗

Secondary Practice Location 1

Location 110900 Hefner Pointe Dr Ste 505Oklahoma City, OK 73120-5006 · Phone (405) 552-0400 · Fax (405) 752-4251

Other Identifiers 1

Medicaid1619395175ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CommunityCare, 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

Matthew Tyler Marr Md 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 ID3678875655
PECOS Enrollment IDI20240820002033
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.

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 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

Other Providers at the Same Location NPPES 7

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

DR. NEAL KUNAL KAUSHAL M.D., MBA
Internal Medicine (Gastroenterology)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
CLAIRE ELAINE CREECY APRN
Nurse Practitioner (Family)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3985
DR. DENA ELAINE O'LEARY MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
DR. JEDIDIAH J PERDUE MD, MPH
Psychiatry & Neurology (Psychiatry)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
ERIN KAY TSAMBIKOS MD
Internal Medicine (Gastroenterology)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
EDGAR L LECLAIRE MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
ELIZABETH ANN GEORGE
Psychiatry & Neurology (Psychiatry)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704

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 Matthew Marr's NPI number?

The NPI number for Matthew Marr is 1619395175. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Matthew Marr located?

Matthew Marr practices at 4509 Integris Pkwy Ste 300, Edmond, OK 73034. The listed phone number is (405) 657-3704.

What is Matthew Marr's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Matthew Marr enrolled in Medicare?

Yes. Matthew Marr 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 Matthew Marr accept?

Health plans from CommunityCare, Medica, Mending Health and UnitedHealthcare list Matthew Marr 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 Matthew Marr affiliated with any hospitals?

According to CMS data, Matthew Marr is affiliated with Integris Baptist Medical Center, Inc and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Marr was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.