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OMAR SILVESTRE MD
NPI 1679708259
Internal Medicine - Rheumatology in Oklahoma City, OK

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
89.39/100
CMS Quality Rating
13401 N WESTERN AVE, SUITE 210, OKLAHOMA CITY, OK 73114(405) 272-4953(405) 272-4956 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2020, Mar 14, 2016 (2 updates tracked since 2016).

About Omar Silvestre Md NPPES

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

OMAR SILVESTRE MD (NPI 1679708259) is an individual rheumatology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (27047) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1679708259
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameOMAR SILVESTRECredential: MD
Location Address13401 N WESTERN AVE, SUITE 210Oklahoma City, OK 73114-1408
Mailing AddressPo Box 269064Oklahoma City, OK 73126-9064 · (405) 231-3857 · Fax (405) 272-7977
Phone(405) 272-4953
Fax(405) 272-4956
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 26, 2009
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1679708259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in OK · 27047
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
13401 N WESTERN AVE, Oklahoma City, OK 73114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omar Silvestre 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 ID8123244316
PECOS Enrollment IDI20140724000661
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Omar Silvestre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saints Medical Group, LLC
4.7 mi
Family Medicine
777 NW 63RD ST STE 452
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 507 clinicians in this Medicare group
NPI 1437195922 (405) 231-3857
Ssm Health Care Of Oklahoma, Inc
8.8 mi
Nurse Anesthetist, Certified Registered
1000 N LEE AVE
Oklahoma City, OK 73102
  • Reassigned Medicare billing, Oklahoma enrollment
  • 212 clinicians in this Medicare group
NPI 1033283932 (405) 272-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
922 services461 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.
91 services91 patients
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.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370094
Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County
Emergency services

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

Weatherford Regional Hospital, Inc Of Weatherford

Critical Access Hospitals · Weatherford, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371323
Location3701 E MainWeatherford, OK 73096 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73114 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.

89.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.91
Promoting Interoperability100
Improvement Activities40
Cost72.74

Other Providers at the Same Location NPPES 14

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

SAINTS MEDICAL GROUP, LLC
Family Medicine
13401 N WESTERN AVE
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 252-3450
DR. FAHED M HAMADEH M.D.
Internal Medicine (Rheumatology)
13401 N WESTERN AVE, SUITE 210
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 272-4953
DR. RABIA CHEEMA M.D.
Internal Medicine (Rheumatology)
13401 N WESTERN AVE
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 272-4953
ST ANTHONY PHYSICIANS THYROID CENTER
Internal Medicine (Endocrinology, Diabetes & Metabolism)
13401 N WESTERN AVE, SUITE 407
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 252-3494
SAMANTHA NGUYEN PA
Physician Assistant
13401 N WESTERN AVE
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 272-4953
SAINTS MEDICAL GROUP, LLC
Internal Medicine (Rheumatology)
13401 N WESTERN AVE
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 272-4953
COMPREHENSIVE FOOT & ANKLE INSTITUTE PLLC
Podiatrist (Foot & Ankle Surgery)
13401 N WESTERN AVE, SUITE 405
OKLAHOMA CITY, OK 73114
Oklahoma County (580) 402-4513
DIANA E. HAMPTON, M.D., P.C.
Ophthalmology
13401 N WESTERN AVE, SUITE #402
OKLAHOMA CITY, OK 73114
Oklahoma County (405) 608-8820

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 Omar Silvestre's NPI number?

The NPI number for Omar Silvestre is 1679708259. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Omar Silvestre located?

Omar Silvestre practices at 13401 N Western Ave Suite 210, Oklahoma City, OK 73114. The listed phone number is (405) 272-4953.

What is Omar Silvestre's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Omar Silvestre enrolled in Medicare?

Yes. Omar Silvestre 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.

Which organizations bill Medicare for Omar Silvestre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Silvestre reassigns Medicare benefits to 2 organizations: Saints Medical Group, LLC (Oklahoma City, OK) and Ssm Health Care Of Oklahoma, Inc (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omar Silvestre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Silvestre accept?

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

According to CMS data, Omar Silvestre is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, Ssm Health St Anthony Hospital - Midwest, Ssm Health St Anthony Hospital - Shawnee and Weatherford Regional Hospital, Inc Of Weatherford.

When was this NPI record last updated?

The NPPES record for Omar Silvestre was last updated on October 22, 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.