MICHAEL W CARNAHAN MD
NPI 1871607903
Family Medicine in Ardmore, OK

Active since August 18, 2006PECOS Enrolled
63.75/100
CMS Quality Rating
1104 WALNUT DR, ARDMORE, OK 73401(580) 226-0543(580) 226-2284 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael W Carnahan Md NPPES

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

MICHAEL W CARNAHAN MD (NPI 1871607903) is an individual family medicine provider in Ardmore, Oklahoma, licensed in Oklahoma (16887) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and is a graduate of University Of Oklahoma College Of Medicine (1986).

NPPES Registry Identity

NPI1871607903
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL W CARNAHANCredential: MD
Location Address1104 WALNUT DRArdmore, OK 73401-2353
Mailing Address1104 Walnut DrArdmore, OK 73401-2353 · (580) 226-0543 · Fax (580) 226-2284
Fax(580) 226-2284
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1986
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1871607903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 16887
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1104 WALNUT DR, Ardmore, OK 73401

Other Identifiers 2

Medicaid100131180AOK
Medicare UPINE11808OK

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 (PECOS)

Michael W Carnahan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608769377
PECOS Enrollment IDI20100316000116
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 18

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,059 services224 patients
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.
872 services562 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.
365 services169 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.
341 services263 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
273 services213 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.
269 services226 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Arbuckle Memorial Hospital

Critical Access Hospitals · Sulphur, OK
OwnershipGovernment - Local
CMS Certification Number371328
Location2011 West BroadwaySulphur, OK 73086 · Murray County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$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.

63.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality44.36
Promoting Interoperability87
Improvement Activities40
Cost45.64

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
24%1,412 patients1/55-star benchmark: 100%
Breast Cancer Screening
17%1,002 patients1/55-star benchmark: 93%
Cervical Cancer Screening
7%2,123 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
3%2,188 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
53%264 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%63 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%63 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
38%8,154 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%5,219 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%6,770 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
29%3,796 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
63%166 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,012 patients
Patients totalRate: 5% · 1,012 patients
5%1,012 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers51 claims148 services$5.90 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier15 claims15 services$1.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers21 claims34 services$0.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers19 claims19 services$114.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers18 claims47 services$41.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$74.80 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 18

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

Physician Assistant (Medical)
1104 WALNUT DR
ARDMORE, OK 73401
Case Manager/Care Coordinator
1104 WALNUT DR
ARDMORE, OK 73401
Physician Assistant
1104 WALNUT DR
ARDMORE, OK 73401
Family Medicine
1104 WALNUT DR
ARDMORE, OK 73401
Social Worker
1104 WALNUT DR
ARDMORE, OK 73401
Pharmacist
1104 WALNUT DR
ARDMORE, OK 73401
Family Medicine
1104 WALNUT DR
ARDMORE, OK 73401
Family Medicine
1104 WALNUT DR
ARDMORE, OK 73401

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 Michael Carnahan's NPI number?

The NPI number for Michael Carnahan is 1871607903. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Michael Carnahan located?

Michael Carnahan practices at 1104 Walnut Dr, Ardmore, OK 73401. The listed phone number is (580) 226-0543.

What is Michael Carnahan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Carnahan enrolled in Medicare?

Yes. Michael Carnahan is registered in the Medicare PECOS enrollment system.

What insurance does Michael Carnahan 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 Michael Carnahan 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 Michael Carnahan affiliated with any hospitals?

According to CMS data, Michael Carnahan is affiliated with Mercy Hospital Ardmore, Inc, O U Medical Center and Arbuckle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Carnahan was last updated on July 9, 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.