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INDIGO DREW VINCENT DEBERRY MD
NPI 1730779901
Family Medicine in Moore, OK

Active since January 21, 2021PECOS EnrolledAccepts Medicare Assignment
1401 SW 34TH ST STE 200, MOORE, OK 73160(405) 793-1188(405) 793-0492 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Jan 21, 2021 (2 updates tracked since 2021).

About Indigo Drew Vincent Deberry Md NPPES

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

INDIGO DREW VINCENT DEBERRY MD (NPI 1730779901) is an individual family medicine provider in Moore, Oklahoma, licensed in Oklahoma (38236) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of University Of Oklahoma College Of Medicine (2021).

NPPES Registry Identity

NPI1730779901
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameINDIGO DREW VINCENT DEBERRYCredential: MD
Location Address1401 SW 34TH ST STE 200Moore, OK 73160-3059
Mailing Address3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640 · (405) 793-1188 · Fax (405) 793-0492
Phone(405) 793-1188
Fax(405) 793-0492
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2021
Enumeration DateJanuary 21, 2021
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1730779901 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 · 38236
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.
1401 SW 34TH ST STE 200, Moore, OK 73160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica 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

Indigo Drew Vincent Deberry 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 ID1456898048
PECOS Enrollment IDI20240731003199
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.

Areas of Expertise CMS Part B claims 5

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.
74 services55 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.
27 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 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.
16 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

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

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73160 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 6

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

KYLE FANNING MD
Family Medicine
1401 SW 34TH ST STE 200
MOORE, OK 73160
Cleveland County (405) 793-1188
JESSICA MIKI FOXEN MD
Family Medicine
1401 SW 34TH ST STE 200
MOORE, OK 73160
Cleveland County (405) 793-1188
MICHAEL MCLAUGHLIN DO
Pain Medicine (Interventional Pain Medicine)
1401 SW 34TH ST STE 200
MOORE, OK 73160
Cleveland County (405) 945-4359
DR. BOB JOE SCHANK MD
Family Medicine
1401 SW 34TH ST STE 200
MOORE, OK 73160
Cleveland County (405) 793-1188
YADER ALBERTO MENDOZA M.D
Family Medicine
1401 SW 34TH ST STE 200
MOORE, OK 73160
Cleveland County (405) 793-1188
MRS. KRISTY MILLER APRN-CNP
Nurse Practitioner (Family)
1401 SW 34TH ST STE 200
MOORE, OK 73160
Cleveland County (405) 793-1188

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 Indigo Deberry's NPI number?

The NPI number for Indigo Deberry is 1730779901. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Indigo Deberry located?

Indigo Deberry practices at 1401 SW 34th St Ste 200, Moore, OK 73160. The listed phone number is (405) 793-1188.

What is Indigo Deberry's specialty?

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

Is Indigo Deberry enrolled in Medicare?

Yes. Indigo Deberry 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 Indigo Deberry accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Indigo Deberry 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 Indigo Deberry affiliated with any hospitals?

According to CMS data, Indigo Deberry is affiliated with Norman Regional, Integris Baptist Medical Center, Inc, O U Medical Center and Integris Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Indigo Deberry was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.