CHARLES R METTRY D.O.
NPI 1871581470
Pediatrics - Adolescent Medicine in Ada, OK

Q: What is Charles Mettry's NPI number?

The NPI number for Charles Mettry is 1871581470. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Charles Mettry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mettry was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 October 10, 2005CLIA 37D0693007 · Microscopy

201 N MONTE VISTA ST STE B, ADA, OK 74820(580) 436-4200(580) 436-6423 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Charles R Mettry D.o. NPPES

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

CHARLES R METTRY D.O. (NPI 1871581470) is an individual adolescent medicine provider in Ada, Oklahoma, licensed in Oklahoma (2206) and active in the NPI registry since October 2005. He holds a CLIA Microscopy certificate valid through May 17, 2028.

NPPES Registry Identity

NPI1871581470

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameCHARLES R METTRYCredential: D.O.

Location Address201 N MONTE VISTA ST STE BAda, OK 74820-7220

Mailing Address201 N Monte Vista St Ste BAda, OK 74820-7220 · (580) 436-2000 · Fax (580) 436-6423

Phone(580) 436-4200

Fax(580) 436-6423

Sole ProprietorYes

Enumeration DateOctober 10, 2005

Last NPPES UpdateNovember 13, 2025

NPPES CertifiedNovember 13, 2025

✔ NPI 1871581470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in OK · 2206

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

201 N MONTE VISTA ST STE B, Ada, OK 74820

Open in Google Maps ↗

Other Identifiers 2

Other38-2376906OK · Fed Id

Medicaid100111120AOK

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D0693007

Charles R Mettry Do · Ada, OK

Active · expires May 17, 2028

CLIA Number37D0693007

Laboratory TypePhysician Office

Certificate Effective DateMay 18, 2026

Certificate Expiration DateMay 17, 2028

Laboratory DirectorCharles R. Mettry

Laboratory Phone(580) 436-4200

Laboratory LocationCharles R Mettry Do1023 Arlington St, Suite A, Ada, OK 74820

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Charles Mettry's NPI number?

The NPI number for Charles Mettry is 1871581470. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Charles Mettry located?

Charles Mettry practices at 201 N Monte Vista St Ste B, Ada, OK 74820. The listed phone number is (580) 436-4200.

What is Charles Mettry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Charles Mettry hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D0693007) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles Mettry 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 Charles Mettry 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.

When was this NPI record last updated?

The NPPES record for Charles Mettry was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.