RAYMOND LOUIS WALL M.D.
NPI 1710921291
Family Medicine in Oklahoma City, OK

Q: What is Raymond Wall's NPI number?

The NPI number for Raymond Wall is 1710921291. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Raymond Wall's specialty?

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

Q: Is Raymond Wall enrolled in Medicare?

No. Raymond Wall has opted out of Medicare through October 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Raymond Wall was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 15, 2006Opted out of Medicare · through Oct 17, 2027

1600 SW 119TH ST, OKLAHOMA CITY, OK 73170(405) 425-8100(405) 425-8109 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2017, Feb 8, 2016 (2 updates tracked since 2016).

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About Raymond Louis Wall M.d. NPPES

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

RAYMOND LOUIS WALL M.D. (NPI 1710921291) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (15347) and active in the NPI registry since June 2006. He has opted out of Medicare through October 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710921291

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAYMOND LOUIS WALLCredential: M.D.

Location Address1600 SW 119TH STOklahoma City, OK 73170-4908

Mailing Address5300 N Independence Ave, Suite 280Oklahoma City, OK 73112-5556 · (405) 425-8100 · Fax (405) 425-8109

Phone(405) 425-8100

Fax(405) 425-8109

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateJuly 19, 20172 updates tracked since enumeration

✔ NPI 1710921291 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 · 15347

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.

1600 SW 119TH ST, Oklahoma City, OK 73170

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Other Identifiers 1

Medicare UPINE16484

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Raymond Louis Wall M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 17, 2019 through October 17, 2027.

Opt-Out Effective DateOctober 17, 2019

Opt-Out In Effect ThroughOctober 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73170 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

5 suppliers21 claims59 services$3.51 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims13 services$0.76 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

1 supplier11 claims11 services$55.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

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

JOSEPH NGUYEN MD

Family Medicine