ATUL M VAIDYA MD
NPI 1649263450
Otolaryngology in Tulsa, OK

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
42.05/100
CMS Quality Rating
5020 E 68TH ST, TULSA, OK 74136(918) 492-3636(918) 494-8915 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Atul M Vaidya Md NPPES

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

ATUL M VAIDYA MD (NPI 1649263450) is an individual otolaryngology provider in Tulsa, Oklahoma, licensed in Oklahoma (23223) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1649263450
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameATUL M VAIDYACredential: MD
Location Address5020 E 68TH STTulsa, OK 74136-3307
Mailing Address5020 E 68th StTulsa, OK 74136-3307 · (918) 492-3636 · Fax (918) 494-8915
Fax(918) 494-8915
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1998
Enumeration DateAugust 26, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1649263450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OK · 23223
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5020 E 68TH ST, Tulsa, OK 74136

Other Identifiers 1

Medicare UPINH94661

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

Atul M Vaidya 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 ID1951465061
PECOS Enrollment IDI20101211000164
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 5

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.

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.
29 services25 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
27 services21 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.
27 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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.

42.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.51
Promoting Interoperability0
Improvement Activities40
Cost29.67

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.

Clinic/Center (Ambulatory Surgical)
5020 E 68TH ST
TULSA, OK 74136
Audiologist
5020 E 68TH ST
TULSA, OK 74136
Audiologist
5020 E 68TH ST
TULSA, OK 74136
Physician Assistant
5020 E 68TH ST
TULSA, OK 74136
Otolaryngology (Sleep Medicine)
5020 E 68TH ST
TULSA, OK 74136
Clinic/Center (Medical Specialty)
5020 E 68TH ST
TULSA, OK 74136
Otolaryngology
5020 E 68TH ST
TULSA, OK 74136
Audiologist
5020 E 68TH ST
TULSA, OK 74136

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 Atul Vaidya's NPI number?

The NPI number for Atul Vaidya is 1649263450. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Atul Vaidya located?

Atul Vaidya practices at 5020 E 68th St, Tulsa, OK 74136. The listed phone number is (918) 492-3636.

What is Atul Vaidya's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Atul Vaidya enrolled in Medicare?

Yes. Atul Vaidya 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 Atul Vaidya accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Atul Vaidya 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 Atul Vaidya affiliated with any hospitals?

According to CMS data, Atul Vaidya is affiliated with Saint Francis Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Atul Vaidya was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.