DR. ROBERT WILLIAM RADER M.D., D.PH.
NPI 1669406062
Family Medicine in Oklahoma City, OK

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
1000 N LEE AVE, RM 1921, OKLAHOMA CITY, OK 73102(405) 272-6406(405) 272-6075 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert William Rader M.d., D.ph. NPPES

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

DR. ROBERT WILLIAM RADER M.D., D.PH. (NPI 1669406062) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (21263) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (1998).

NPPES Registry Identity

NPI1669406062
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT WILLIAM RADERCredential: M.D., D.PH.
Location Address1000 N LEE AVE, RM 1921Oklahoma City, OK 73102-1036
Mailing AddressPo Box 268922Oklahoma City, OK 73126-8922 · (405) 231-3857 · Fax (405) 272-7977
Fax(405) 272-6075
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1998
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 19, 2012
NPI 1669406062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 21263
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 N LEE AVE, Oklahoma City, OK 73102

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

Dr. Robert William Rader M.d., D.ph. 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 ID7517967565
PECOS Enrollment IDI20061222000186
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 6

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 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.
85 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
64 services45 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
36 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Purcell Municipal Hospital

Acute Care Hospitals · Purcell, OK
OwnershipGovernment - Local
CMS Certification Number370158
Location2301 N 9th AvePurcell, OK 73080 · Mcclain County
Emergency services

Cordell Memorial Hospital

Critical Access Hospitals · Cordell, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371325
Location1220 North Glenn English StreetCordell, OK 73632 · Washita County
Emergency services

Okeene Municipal Hospital

Critical Access Hospitals · Okeene, OK
OwnershipGovernment - Local
CMS Certification Number371327
Location207 East F StreetOkeene, OK 73763 · Blaine 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 73102 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
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.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims30 services$4.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers62 claims62 services$19.54 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers76 claims76 services$100.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.28 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.

Pathology (Anatomic Pathology & Clinical Pathology)
1000 N LEE AVE
OKLAHOMA CITY, OK 73102
Anesthesiology
1000 N LEE AVE
OKLAHOMA CITY, OK 73102
Radiology (Radiation Oncology)
1000 N LEE AVE
OKLAHOMA CITY, OK 73102
Anesthesiology
1000 N LEE AVE
OKLAHOMA CITY, OK 73102
Emergency Medicine
1000 N LEE AVE
OKLAHOMA CITY, OK 73102
Pathology (Anatomic Pathology & Clinical Pathology)
1000 N LEE AVE
OKLAHOMA CITY, OK 73102
Anesthesiology
1000 N LEE AVE
OKLAHOMA CITY, OK 73102
Nurse Anesthetist, Certified Registered
1000 N LEE AVE
OKLAHOMA CITY, OK 73102

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 Robert Rader's NPI number?

The NPI number for Robert Rader is 1669406062. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Robert Rader located?

Robert Rader practices at 1000 N Lee Ave Rm 1921, Oklahoma City, OK 73102. The listed phone number is (405) 272-6406.

What is Robert Rader's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Rader enrolled in Medicare?

Yes. Robert Rader 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 Robert Rader accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Robert Rader 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 Robert Rader affiliated with any hospitals?

According to CMS data, Robert Rader is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Purcell Municipal Hospital, Cordell Memorial Hospital, Okeene Municipal Hospital and Share Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Rader was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.