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MR. ROBERT LUTHER WADDELL MD
NPI 1750485058
Surgery in Ada, OK

Active since September 08, 2006PECOS Enrolled
435 N MONTE VISTA, ADA, OK 74820(580) 310-0102(580) 310-0104 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Robert Luther Waddell Md NPPES

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

MR. ROBERT LUTHER WADDELL MD (NPI 1750485058) is an individual surgery provider in Ada, Oklahoma, licensed in Oklahoma (20345) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750485058
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. ROBERT LUTHER WADDELLCredential: MD
Location Address435 N MONTE VISTAAda, OK 74820
Mailing Address530 N Monte Vista St, Suite AAda, OK 74820-4675 · (580) 436-7101 · Fax (580) 436-4447
Phone(580) 310-0102
Fax(580) 310-0104
Sole ProprietorNo
Enumeration DateSeptember 8, 2006
Last NPPES UpdateOctober 27, 2014
✔ NPI 1750485058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 20345
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
435 N MONTE VISTA, Ada, OK 74820
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Other Identifiers 2

Medicare UPINB27385
Medicaid10015510AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Luther Waddell Md 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.

Medicare Billing Reassignment

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

Mercy Clinic Oklahoma Communities
79 mi
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
NPI 1386874550 (405) 752-3333

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 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
$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.

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 Robert Waddell's NPI number?

The NPI number for Robert Waddell is 1750485058. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Robert Waddell located?

Robert Waddell practices at 435 N Monte Vista, Ada, OK 74820. The listed phone number is (580) 310-0102.

What is Robert Waddell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Waddell enrolled in Medicare?

Yes. Robert Waddell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Waddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Waddell reassigns Medicare benefits to Mercy Clinic Oklahoma Communities (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 Robert Waddell'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 Robert Waddell was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.