1. Home
  2. Directory
  3. Oklahoma
  4. Edmond
  5. Internal Medicine
  6. NPI Profile

DR. QAISAR QAYYUM M.D.
NPI 1720025448
Internal Medicine - Geriatric Medicine in Edmond, OK

Active since June 01, 2006PECOS Enrolled
13974 S BROADWAY, EDMOND, OK 73034(405) 562-8715(405) 562-8717 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Qaisar Qayyum M.d. NPPES

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

DR. QAISAR QAYYUM M.D. (NPI 1720025448) is an individual geriatric medicine provider in Edmond, Oklahoma, licensed in Oklahoma (21912) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720025448
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. QAISAR QAYYUMCredential: M.D.
Location Address13974 S BROADWAYEdmond, OK 73034-8144
Mailing AddressPo Box 31195Edmond, OK 73003-0020 · (405) 562-8715 · Fax (405) 562-8717
Phone(405) 562-8715
Fax(405) 562-8717
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 22, 2020
NPPES CertifiedJune 22, 2020
✔ NPI 1720025448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OK · 21912
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 21912 (OK)
13974 S BROADWAY, Edmond, OK 73034
Open in Google Maps ↗

Other Identifiers 1

Medicaid100063090AOK

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

✔

Enrolled in Medicare (PECOS)

Dr. Qaisar Qayyum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73034 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES

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

QAISAR J QAYYUM MD, PC
Internal Medicine (Geriatric Medicine)
13974 S BROADWAY
EDMOND, OK 73034
Oklahoma County (405) 562-8715

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 Qaisar Qayyum's NPI number?

The NPI number for Qaisar Qayyum is 1720025448. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Qaisar Qayyum located?

Qaisar Qayyum practices at 13974 S Broadway, Edmond, OK 73034. The listed phone number is (405) 562-8715.

What is Qaisar Qayyum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Qaisar Qayyum enrolled in Medicare?

Yes. Qaisar Qayyum is registered in the Medicare PECOS enrollment system.

What insurance does Qaisar Qayyum accept?

Health plans from Mending Health list Qaisar Qayyum 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.

When was this NPI record last updated?

The NPPES record for Qaisar Qayyum was last updated on June 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.