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MR. THOMAS A MAIBENCO MD
NPI 1639211386
Physical Medicine & Rehabilitation - Pain Medicine in Tahlequah, OK

Active since February 12, 2007PECOS Enrolled
1500 E DOWNING ST STE 101, TAHLEQUAH, OK 74464(918) 453-1234 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thomas A Maibenco Md NPPES

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

MR. THOMAS A MAIBENCO MD (NPI 1639211386) is an individual pain medicine provider in Tahlequah, Oklahoma, licensed in Oklahoma (35295) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639211386
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameMR. THOMAS A MAIBENCOCredential: MD
Location Address1500 E DOWNING ST STE 101Tahlequah, OK 74464-3354
Mailing Address916 Talon Drive, Suite 102Ofallon, IL 62269-1848 · (618) 628-8211 · Fax (618) 628-0883
Phone(918) 453-1234
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1639211386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in OK · 35295✔ Licensed in IL · 336078668
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
1500 E DOWNING ST STE 101, Tahlequah, OK 74464
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas A Maibenco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,710 services$1.64 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 4

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

SANDI LYNN CASEY APRN
Nurse Practitioner (Family)
1500 E DOWNING ST STE 101
TAHLEQUAH, OK 74464
Cherokee County (918) 708-3570
BROOKE MICHELLE BURKART APRN-CNP
Nurse Practitioner (Primary Care)
1500 E DOWNING ST STE 101
TAHLEQUAH, OK 74464
Cherokee County (918) 708-3580
MUNEEZA AFIF MD
Internal Medicine
1500 E DOWNING ST STE 101
TAHLEQUAH, OK 74464
Cherokee County (312) 864-6000
JAMEEL AMEER UQDAH M.D.
Internal Medicine
1500 E DOWNING ST STE 101
TAHLEQUAH, OK 74464
Cherokee County (918) 434-7440

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 Thomas Maibenco's NPI number?

The NPI number for Thomas Maibenco is 1639211386. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Thomas Maibenco located?

Thomas Maibenco practices at 1500 E Downing St Ste 101, Tahlequah, OK 74464. The listed phone number is (918) 453-1234.

What is Thomas Maibenco's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Thomas Maibenco enrolled in Medicare?

Yes. Thomas Maibenco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Maibenco was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.