MR. DAVID SHANNON HADDOCK
NPI 1760458210
Physician Assistant in Oklahoma City, OK

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
92.36/100
CMS Quality Rating
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114(405) 230-9000(405) 230-9157 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Shannon Haddock NPPES

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

MR. DAVID SHANNON HADDOCK (NPI 1760458210) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (2055) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Oklahoma Center For Orthopaedic & Multi-sp, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1760458210
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID SHANNON HADDOCK
Location Address9600 BROADWAY EXTOklahoma City, OK 73114-7408
Mailing Address9600 Broadway ExtOklahoma City, OK 73114-7408 · (405) 230-9000 · Fax (405) 230-9157
Fax(405) 230-9157
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJanuary 5, 2018
NPI 1760458210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 2055
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2005002890 (MO)
9600 BROADWAY EXT, Oklahoma City, OK 73114

Accepted 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

Mr. David Shannon Haddock 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 ID7719927383
PECOS Enrollment IDI20120208000184
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 10

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.
97 services85 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
94 services88 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.
82 services66 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
74 services17 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
73 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Oklahoma Center For Orthopaedic & Multi-Sp

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370212
Location8100 South Walker Bldg COklahoma City, OK 73139 · Oklahoma County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73114 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.03
Promoting Interoperability80
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
2 suppliers55 claims55 services$567.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Nurse Anesthetist, Certified Registered
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Pharmacist
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Orthopaedic Surgery (Hand Surgery)
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Physician Assistant
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Physician Assistant
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Orthopaedic Surgery
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Pharmacy (Community/Retail Pharmacy)
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114

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 David Haddock's NPI number?

The NPI number for David Haddock is 1760458210. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is David Haddock located?

David Haddock practices at 9600 Broadway Ext, Oklahoma City, OK 73114. The listed phone number is (405) 230-9000.

What is David Haddock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Haddock enrolled in Medicare?

Yes. David Haddock 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 David Haddock accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list David Haddock 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 David Haddock affiliated with any hospitals?

According to CMS data, David Haddock is affiliated with Oklahoma Center For Orthopaedic & Multi-Sp.

When was this NPI record last updated?

The NPPES record for David Haddock was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.