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ETHAN PAUL ADRE
NPI 1750024634
Ophthalmology in Oklahoma City, OK

Active since April 18, 2022PECOS Enrolled
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-7816 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2024, Apr 18, 2022 (2 updates tracked since 2022).

About Ethan Paul Adre NPPES

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

ETHAN PAUL ADRE (NPI 1750024634) is an individual ophthalmology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (39396) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2022).

NPPES Registry Identity

NPI1750024634
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameETHAN PAUL ADRE
Location Address608 STANTON L YOUNG BLVDOklahoma City, OK 73104-5014
Mailing Address608 Stanton L Young BlvdOklahoma City, OK 73104-5014 · (405) 271-7816
Phone(405) 271-7816
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2022
Enumeration DateApril 18, 2022
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1750024634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OK · 39396
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
608 STANTON L YOUNG BLVD, Oklahoma City, OK 73104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Paul Adre is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103382858
PECOS Enrollment IDI20260801000291
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 Reassignment

Medicare enrollment records show Ethan Adre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ou Health Partners, Inc
0.5 mi
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
NPI 1528642642 (405) 271-3932

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

JACQUELYN A O'BANION MD
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
CYNTHIA A BRADFORD M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
JILA NOORIKOLOURI MD
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
ILANA SILVERSTEIN MD
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7816
DR. BRIAN KEITH FIRESTONE M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
DAVID W PARKE II M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-1092
TAMMY LYN YANOVITCH MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060
DR. JOHN M BELL M.D.
Ophthalmology
608 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6060

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 Ethan Adre's NPI number?

The NPI number for Ethan Adre is 1750024634. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Ethan Adre located?

Ethan Adre practices at 608 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-7816.

What is Ethan Adre's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ethan Adre enrolled in Medicare?

Yes. Ethan Adre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Adre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Adre reassigns Medicare benefits to Ou Health Partners, Inc (Oklahoma City, OK). The 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 Ethan Adre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Adre was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.