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

Q: 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.

Q: What is Sopukro Tienabeso's specialty?

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

Q: 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.

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: October 25, 2026.

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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

Phone(918) 426-1800

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

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Other Identifiers 1

Medicare UPINI43452OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Sopukro Tienabeso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Hospital Medicine Associates PC

128 mi

Hospitalist

1001 E 18TH ST
Grove, OK 74344

Reassigned Medicare billing, Oklahoma enrollment
95 clinicians in this Medicare group

NPI 1124388855 (918) 786-2243

Lawton Indian Hospital

151 mi

General Acute Care Hospital

1515 NE LAWRIE TATUM RD
Lawton, OK 73507

Reassigned Medicare billing, Texas enrollment
347 clinicians in this Medicare group

NPI 1760489223 (580) 354-5150

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

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.

AMNA AHMED MD

Student in an Organized Health Care Education/Training Program