DR. MOHD OMAR QUTOB M.D
NPI 1679952584
Surgery in Oklahoma City, OK

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
920 STANTON L YOUNG BLVD # WP2140, OKLAHOMA CITY, OK 73104(405) 271-7912 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mohd Omar Qutob M.d NPPES

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

DR. MOHD OMAR QUTOB M.D (NPI 1679952584) is an individual surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (31642) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1679952584
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MOHD OMAR QUTOBCredential: M.D
Location Address920 STANTON L YOUNG BLVD # WP2140Oklahoma City, OK 73104-5036
Mailing Address700 Ne 13th St # 38Oklahoma City, OK 73104-5004 · (405) 764-8066 · Fax (405) 271-1001
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 26, 2015
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1679952584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 31642
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
920 STANTON L YOUNG BLVD # WP2140, Oklahoma City, OK 73104

Secondary Practice Location 1

Location 11919 S Wheeling Ave Ste 600Tulsa, OK 74104-5635 · Phone (918) 619-4400 · Fax (918) 634-7560

Other Identifiers 1

Medicaid200600440BOK

Accepted 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

Dr. Mohd Omar Qutob M.d 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 ID244533842
PECOS Enrollment IDI20210323002813
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

6

Medicare enrollment records show Mohd Qutob reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 clinicians in this Medicare group
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
Surgery
13100 N WESTERN AVE STE 200
Oklahoma City, OK 73114
  • Reassigned Medicare billing, Oklahoma enrollment
  • 2 clinicians in this Medicare group
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
Family Medicine
1800 E COPLIN ST
Okemah, OK 74859
  • Reassigned Medicare billing, Texas enrollment
  • 655 clinicians in this Medicare group
Multi-Specialty
4502 E 41ST ST
Tulsa, OK 74135
  • Reassigned Medicare billing, Oklahoma enrollment
  • 124 clinicians in this Medicare group

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
13 services13 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

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.

Urology
920 STANTON L YOUNG BLVD # WP2140
OKLAHOMA CITY, OK 73104
Urology
920 STANTON L YOUNG BLVD # WP2140
OKLAHOMA CITY, OK 73104
Urology
920 STANTON L YOUNG BLVD # WP2140
OKLAHOMA CITY, OK 73104
Urology
920 STANTON L YOUNG BLVD # WP2140
OKLAHOMA CITY, OK 73104

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 Mohd Qutob's NPI number?

The NPI number for Mohd Qutob is 1679952584. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Mohd Qutob located?

Mohd Qutob practices at 920 Stanton L Young Blvd # Wp2140, Oklahoma City, OK 73104. The listed phone number is (405) 271-7912.

What is Mohd Qutob's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mohd Qutob enrolled in Medicare?

Yes. Mohd Qutob 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 Mohd Qutob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohd Qutob reassigns Medicare benefits to 6 organizations: Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK), Ou Health Partners, Inc (Oklahoma City, OK), Premier Wound Care PLLC (Oklahoma City, OK), Integris Ambulatory Care Corporation (Oklahoma City, OK), Creek Nation Hospital & Clinics (Okemah, OK) and 1 more organization, listed in the Medicare section above. 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 Mohd Qutob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohd Qutob accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Mohd Qutob 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 Mohd Qutob affiliated with any hospitals?

According to CMS data, Mohd Qutob is affiliated with Integris Baptist Medical Center, Inc and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Mohd Qutob was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.