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DR. ANTHONY WAYNE WALDROUP MD, MPH
NPI 1720041924
Family Medicine in Ada, OK

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
530 N MONTE VISTA ST STE A, ADA, OK 74820(580) 310-9510(580) 436-4447 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Jul 29, 2023, Jun 2, 2020 (3 updates tracked since 2020).

About Dr. Anthony Wayne Waldroup Md, Mph NPPES

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

DR. ANTHONY WAYNE WALDROUP MD, MPH (NPI 1720041924) is an individual family medicine provider in Ada, Oklahoma, licensed in Oklahoma (20220) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ada, and is a graduate of University Of Oklahoma College Of Medicine (1996).

NPPES Registry Identity

NPI1720041924
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTHONY WAYNE WALDROUPCredential: MD, MPH
Location Address530 N MONTE VISTA ST STE AAda, OK 74820-4675
Mailing Address530 N Monte Vista St Ste AAda, OK 74820-4675 · (580) 310-9510 · Fax (580) 436-4447
Phone(580) 310-9510
Fax(580) 436-4447
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1996
Enumeration DateApril 10, 2006
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1720041924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 20220
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.
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 20220 (OK)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 20220 (OK)
530 N MONTE VISTA ST STE A, Ada, OK 74820
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 Home State Health, Ambetter from Sunflower Health Plan and more.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. Anthony Wayne Waldroup Md, Mph 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 ID7719132273
PECOS Enrollment IDI20250317000499, I20260427000670
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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370020
Location430 North Monte VistaAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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.

Other Providers at the Same Location NPPES 7

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

DR. OROOJ HARRISON DO
Family Medicine
530 N MONTE VISTA ST STE A
ADA, OK 74820
Pontotoc County (580) 310-9510
APRIL DAWN CROCKETT
Student in an Organized Health Care Education/Training Program
530 N MONTE VISTA ST STE A
ADA, OK 74820
Pontotoc County (580) 310-9510
CYNTHIA A SAM MS, APRN
Nurse Practitioner (Family)
530 N MONTE VISTA ST STE A
ADA, OK 74820
Pontotoc County (580) 310-9510
JESSE ARTHUR DO
Family Medicine
530 N MONTE VISTA ST STE A
ADA, OK 74820
Pontotoc County (580) 310-9510
STACY LEPSCH FNP-C
Nurse Practitioner (Family)
530 N MONTE VISTA ST STE A
ADA, OK 74820
Pontotoc County (580) 310-9510
KIMBERLY JUNE REEDER
Nurse Practitioner (Primary Care)
530 N MONTE VISTA ST STE A
ADA, OK 74820
Pontotoc County (580) 310-9510
MELISSA ANN GRAHAM
Nurse Practitioner (Family)
530 N MONTE VISTA ST STE A
ADA, OK 74820
Pontotoc County (580) 310-9510

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 Anthony Waldroup's NPI number?

The NPI number for Anthony Waldroup is 1720041924. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Anthony Waldroup located?

Anthony Waldroup practices at 530 N Monte Vista St Ste A, Ada, OK 74820. The listed phone number is (580) 310-9510.

What is Anthony Waldroup's specialty?

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

Is Anthony Waldroup enrolled in Medicare?

Yes. Anthony Waldroup 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 Anthony Waldroup accept?

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

According to CMS data, Anthony Waldroup is affiliated with Mercy Hospital Ada and Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Waldroup was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.