DR. CLARK JIRO TINGLEAF M.D.
NPI 1881624153
Urology in Owasso, OK

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
10512 N 110TH EAST AVE, STE 200, OWASSO, OK 74055(918) 376-8926(918) 377-8936 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clark Jiro Tingleaf M.d. NPPES

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

DR. CLARK JIRO TINGLEAF M.D. (NPI 1881624153) is an individual urology provider in Owasso, Oklahoma, licensed in Oklahoma (23509) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1995).

NPPES Registry Identity

NPI1881624153
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. CLARK JIRO TINGLEAFCredential: M.D.
Location Address10512 N 110TH EAST AVE, STE 200Owasso, OK 74055-6636
Mailing Address10512 N 110th East Ave, Ste 200Owasso, OK 74055-6636 · (918) 376-8926 · Fax (918) 377-8936
Fax(918) 377-8936
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1995
Enumeration DateJuly 3, 2006
Last NPPES UpdateSeptember 24, 2019
NPI 1881624153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OK · 23509
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
10512 N 110TH EAST AVE, Owasso, OK 74055

Other Identifiers 1

Medicaid200015250BOK

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

Dr. Clark Jiro Tingleaf 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 ID1759280472
PECOS Enrollment IDI20040105000600
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 14

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 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.
151 services123 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
98 services66 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
67 services58 patients
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.
58 services43 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
39 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Pryor

Acute Care Hospitals · Pryor, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370015
Location111 North Bailey StreetPryor, OK 74361 · Mayes County
Emergency services

Hillcrest Hospital Claremore

Acute Care Hospitals · Claremore, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370039
Location1202 N Muskogee PlaceClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Bailey Medical Center, LLC

Acute Care Hospitals · Owasso, OK
OwnershipProprietary
CMS Certification Number370228
Location10502 North 110th East AvenueOwasso, OK 74055 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74055 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
$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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers24 claims1,980 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers51 claims7,230 services$1.73 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 20

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

Nurse Practitioner (Family)
10512 N 110TH EAST AVE
OWASSO, OK 74055
Physical Therapist
10512 N 110TH EAST AVE
OWASSO, OK 74055
Surgery
10512 N 110TH EAST AVE, SUITE 100
OWASSO, OK 74055
Pediatrics
10512 N 110TH EAST AVE, SUITE 300
OWASSO, OK 74055
Pediatrics
10512 N 110TH EAST AVE
OWASSO, OK 74055
Specialist
10512 N 110TH EAST AVE, STE 220
OWASSO, OK 74055
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
10512 N 110TH EAST AVE, SUITE 210
OWASSO, OK 74055
Surgery
10512 N 110TH EAST AVE, SUITE 240
OWASSO, OK 74055

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 Clark Tingleaf's NPI number?

The NPI number for Clark Tingleaf is 1881624153. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Clark Tingleaf located?

Clark Tingleaf practices at 10512 N 110th East Ave Ste 200, Owasso, OK 74055. The listed phone number is (918) 376-8926.

What is Clark Tingleaf's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Clark Tingleaf enrolled in Medicare?

Yes. Clark Tingleaf 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 Clark Tingleaf 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 Clark Tingleaf 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 Clark Tingleaf affiliated with any hospitals?

According to CMS data, Clark Tingleaf is affiliated with Hillcrest Medical Center, Hillcrest Hospital Pryor, Hillcrest Hospital Claremore, Hillcrest Hospital South and Bailey Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Clark Tingleaf was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.