DR. JAMES B KRABLIN MD
NPI 1679509657
Internal Medicine in Lexington, OK

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
10.65/100
CMS Quality Rating
301 W BROADWAY ST, LEXINGTON, OK 73051(405) 590-4478(405) 696-5038 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2021, Sep 19, 2018 (2 updates tracked since 2018).

About Dr. James B Krablin Md NPPES

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

DR. JAMES B KRABLIN MD (NPI 1679509657) is an individual internal medicine provider in Lexington, Oklahoma, licensed in Oklahoma (21711) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of University Of Oklahoma College Of Medicine (1999).

NPPES Registry Identity

NPI1679509657
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES B KRABLINCredential: MD
Location Address301 W BROADWAY STLexington, OK 73051-8960
Mailing Address8900 Silver Hill DrOklahoma City, OK 73132-3316 · (405) 557-1200 · Fax (405) 557-1977
Fax(405) 696-5038
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1999
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
NPI 1679509657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 21711
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
301 W BROADWAY ST, Lexington, OK 73051

Other Identifiers 6

Medicaid100192620EOK
Other100192620FOK · Soonercare Medicaid
Other82054754073750A002OK · Tricare
Other611206400OK · Dept Of Labor
Other7206397OK · Aetna
Medicaid100756040AOK

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. James B Krablin 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 ID3779573894
PECOS Enrollment IDI20091229000112
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 25

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
4,961 services939 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,397 services582 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,614 services377 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
1,166 services530 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
928 services90 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
773 services328 patients

Hospital Affiliations CMS Care Compare 5

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie 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

Mercy Hospital Guthrie

Critical Access Hospitals · Guthrie, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371317
Location200 S Academy RdGuthrie, OK 73044 · Logan 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73051 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
$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.

10.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost35.5

Referred Medical Equipment & Supplies CMS DME claims 40

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

Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4311
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$14.29 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier37 claims37 services$21.76 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers40 claims464 services$1.87 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$3.48 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers52 claims61 services$7.19 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier26 claims52 services$5.91 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 2

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

Skilled Nursing Facility
301 W BROADWAY ST
LEXINGTON, OK 73051
Internal Medicine
301 W BROADWAY ST
LEXINGTON, OK 73051

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 James Krablin's NPI number?

The NPI number for James Krablin is 1679509657. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is James Krablin located?

James Krablin practices at 301 W Broadway St, Lexington, OK 73051. The listed phone number is (405) 590-4478.

What is James Krablin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Krablin enrolled in Medicare?

Yes. James Krablin 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 James Krablin accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list James Krablin 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 James Krablin affiliated with any hospitals?

According to CMS data, James Krablin is affiliated with Norman Regional, Ssm Health St Anthony Hospital - Shawnee, Purcell Municipal Hospital, Mercy Hospital Guthrie and Okeene Municipal Hospital.

When was this NPI record last updated?

The NPPES record for James Krablin was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.