SOPUKRO W TIENABESO M.D.
NPI 1770513442
Internal Medicine in Mcalester, OK

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
1 E CLARK BASS BLVD, MCALESTER, OK 74501(918) 426-1800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sopukro W Tienabeso M.d. NPPES

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

SOPUKRO W TIENABESO M.D. (NPI 1770513442) is an individual internal medicine provider in Mcalester, Oklahoma, licensed in Oklahoma (24308) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lawton Indian Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1770513442
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSOPUKRO W TIENABESOCredential: M.D.
Location Address1 E CLARK BASS BLVDMcalester, OK 74501-4209
Mailing Address1316 Nw 170th StEdmond, OK 73003-7410 · (405) 285-0796
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1770513442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 24308
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 E CLARK BASS BLVD, Mcalester, OK 74501

Other Identifiers 1

Medicare UPINI43452OK

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

Sopukro W Tienabeso M.d. 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 ID3971533217
PECOS Enrollment IDI20181214002014
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Lawton Indian Hospital

Acute Care Hospitals · Lawton, OK
OwnershipGovernment - Federal
CMS Certification Number370170
Location1515 Lawrie Tatum RoadLawton, OK 73507 · Comanche County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74501 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
$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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
59%46 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Student in an Organized Health Care Education/Training Program
1 E CLARK BASS BLVD
MCALESTER, OK 74501
Occupational Therapy Assistant
1 E CLARK BASS BLVD
MCALESTER, OK 74501
Physical Medicine & Rehabilitation
1 E CLARK BASS BLVD
MCALESTER, OK 74501
Family Medicine
1 E CLARK BASS BLVD
MCALESTER, OK 74501
Occupational Therapy Assistant
1 E CLARK BASS BLVD
MCALESTER, OK 74501
Physical Therapy Assistant
1 E CLARK BASS BLVD
MCALESTER, OK 74501
Nurse Practitioner (Family)
1 E CLARK BASS BLVD
MCALESTER, OK 74501
Nurse Anesthetist, Certified Registered
1 E CLARK BASS BLVD
MCALESTER, OK 74501

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 Sopukro Tienabeso's NPI number?

The NPI number for Sopukro Tienabeso is 1770513442. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Sopukro Tienabeso located?

Sopukro Tienabeso practices at 1 E Clark Bass Blvd, Mcalester, OK 74501. The listed phone number is (918) 426-1800.

What is Sopukro Tienabeso's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sopukro Tienabeso enrolled in Medicare?

Yes. Sopukro Tienabeso 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 Sopukro Tienabeso accept?

Health plans from Mending Health list Sopukro Tienabeso 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 Sopukro Tienabeso affiliated with any hospitals?

According to CMS data, Sopukro Tienabeso is affiliated with Lawton Indian Hospital.

When was this NPI record last updated?

The NPPES record for Sopukro Tienabeso was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.