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DR. BRIAN WESLEY CROSS M.D.
NPI 1891954095
Urology in Oklahoma City, OK

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
920 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-6966 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Wesley Cross M.d. NPPES

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

DR. BRIAN WESLEY CROSS M.D. (NPI 1891954095) is an individual urology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (31201) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Saint Louis University School Of Medicine (2008).

NPPES Registry Identity

NPI1891954095
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. BRIAN WESLEY CROSSCredential: M.D.
Location Address920 SL YOUNG BLVDOklahoma City, OK 73104-1013
Mailing AddressUniversity Of Oklahoma Dept Of Urology, 920 Sl Young Blvd, Wp 2140Oklahoma City, OK 73104-0001 · (405) 271-6966
Phone(405) 271-6966
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2008
Enumeration DateJune 3, 2008
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1891954095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OK · 31201
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.
920 SL YOUNG BLVD, Oklahoma City, OK 73104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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. Brian Wesley Cross 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 ID5890934566
PECOS Enrollment IDI20150629000943
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.
319 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
140 services48 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.
109 services96 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.
72 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
54 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services39 patients

Hospital Affiliations CMS Care Compare 4

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne 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

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Referred Medical Equipment & Supplies CMS DME claims 7

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers29 claims80 services$7.37 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers12 claims270 services$2.85 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
2 suppliers11 claims19 services$6.82 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
7 suppliers32 claims850 services$5.78 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
7 suppliers34 claims940 services$3.39 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers23 claims1,300 services$0.23 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.

EVELYN LORENTS MD
Radiology (Diagnostic Radiology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
JIMMY ARGO MD
Otolaryngology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5504
MATLOCK JEFFRIES MD
Internal Medicine (Rheumatology)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
JUAN CLAROS-SORTO MD
Surgery
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6308
TARANDEEP GREWAL MD
Psychiatry & Neurology (Psychiatry)
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5251
AMBER WEINGARTNER MD
Obstetrics & Gynecology
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8787
KATHARINE PENTECOST PA-C
Physician Assistant
920 SL YOUNG BLVD, WP1310
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
KRISTINA BOOTH MS
Surgery
920 SL YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5251

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 Brian Cross's NPI number?

The NPI number for Brian Cross is 1891954095. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Brian Cross located?

Brian Cross practices at 920 Sl Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-6966.

What is Brian Cross's specialty?

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

Is Brian Cross enrolled in Medicare?

Yes. Brian Cross 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 Brian Cross accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Brian Cross 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 Brian Cross affiliated with any hospitals?

According to CMS data, Brian Cross is affiliated with Integris Baptist Medical Center, Inc, Stillwater Medical Center, O U Medical Center and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Brian Cross was last updated on April 7, 2020. 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.