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DR. CORD TANNER LANDRUM D.C., PA-C
NPI 1801986740
Physician Assistant in Ada, OK

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
905 COLONY DR, ADA, OK 74820(580) 436-5111(580) 436-1159 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2021, Dec 14, 2018 (2 updates tracked since 2018).

About Dr. Cord Tanner Landrum D.c., Pa-c NPPES

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

DR. CORD TANNER LANDRUM D.C., PA-C (NPI 1801986740) is an individual physician assistant in Ada, Oklahoma, licensed in Oklahoma (3003) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ada, and maintains a secondary practice location in Konawa.

NPPES Registry Identity

NPI1801986740
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDR. CORD TANNER LANDRUMCredential: D.C., PA-C
Location Address905 COLONY DRAda, OK 74820-2329
Mailing Address527 W 3rd StKonawa, OK 74849-1415 · (580) 925-3286 · Fax (580) 925-9149
Phone(580) 436-5111
Fax(580) 436-1159
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 13, 2006
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1801986740 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 · 3003
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 ListedChiropractorTaxonomy 111N00000X · License 3744 (OK)
905 COLONY DR, Ada, OK 74820
Open in Google Maps ↗

Secondary Practice Location 1

Location 1527 W 3rd StKonawa, OK 74849-1415 · Phone (580) 925-3286 · Fax (580) 925-9149

Other Identifiers 1

Other3003OK · Oklahoma Board Of Medical Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Cord Tanner Landrum D.c., Pa-c 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 ID42217853
PECOS Enrollment IDI20190115003417
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.
162 services136 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
120 services108 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
58 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
47 services19 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.
43 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370020
Location430 North Monte VistaAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$119.03 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 17

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

MS. MIKA STRONG PA-C
Physician Assistant (Medical)
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111
DR. JOSHUA PRIDDLE D.O.
Family Medicine (Sports Medicine)
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111
DR. HENRY KEITH BOREN D.O.
Family Medicine
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111
KENT DENSON
Family Medicine
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111
DR. MELISSA LYNN ADAMS D.P.M
Podiatrist (Foot & Ankle Surgery)
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111
MRS. STEPHANIE RANAE MOWDY APRN,MS,CCNS
Clinical Nurse Specialist (Acute Care)
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111
KACIE WILKIN PA-C
Physician Assistant
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111
KELLI LOWRY SLP
Speech-Language Pathologist
905 COLONY DR
ADA, OK 74820
Pontotoc County (580) 436-5111

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 Cord Landrum's NPI number?

The NPI number for Cord Landrum is 1801986740. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Cord Landrum located?

Cord Landrum practices at 905 Colony Dr, Ada, OK 74820. The listed phone number is (580) 436-5111.

What is Cord Landrum's specialty?

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

Is Cord Landrum enrolled in Medicare?

Yes. Cord Landrum 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 Cord Landrum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Cord Landrum 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 Cord Landrum affiliated with any hospitals?

According to CMS data, Cord Landrum is affiliated with Mercy Hospital Ada.

When was this NPI record last updated?

The NPPES record for Cord Landrum was last updated on November 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.