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DR. SAMUEL JAY PANGBURN DO
NPI 1922085216
Surgery in Tulsa, OK

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
10505 E 91ST ST STE 203, TULSA, OK 74133(918) 307-3120(918) 307-3121 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2023, Mar 15, 2019 (2 updates tracked since 2019).

About Dr. Samuel Jay Pangburn Do NPPES

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

DR. SAMUEL JAY PANGBURN DO (NPI 1922085216) is an individual surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (3593) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1922085216
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SAMUEL JAY PANGBURNCredential: DO
Location Address10505 E 91ST ST STE 203Tulsa, OK 74133
Mailing Address6600 S Yale Ave Ste 14000Tulsa, OK 74136-3347 · (888) 247-0125 · Fax (918) 502-8210
Phone(918) 307-3120
Fax(918) 307-3121
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1997
Enumeration DateDecember 28, 2005
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1922085216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 3593
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10505 E 91ST ST STE 203, Tulsa, OK 74133
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Secondary Practice Location 1

Location 18042 Wurzbach Rd, Ste 310San Antonio, TX 78229-3818 · Phone (210) 614-5113 · Fax (210) 614-7938

Other Identifiers 2

Medicaid100096880AOK
Medicaid171802501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, 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. Samuel Jay Pangburn Do 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 ID9335100494
PECOS Enrollment IDI20041129000529
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
27 services26 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.
22 services22 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
21 services21 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.
21 services21 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Other Providers at the Same Location NPPES 3

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

DR. CASSANDRA LEE RIDDLE DO
Surgery
10505 E 91ST ST STE 203
TULSA, OK 74133
Tulsa County (918) 930-7312
STEVEN ANTHONY FEHER M.D.
Surgery
10505 E 91ST ST STE 203
TULSA, OK 74133
Tulsa County (918) 307-3120
GEORGINA MISHKIN PA-C
Physician Assistant
10505 E 91ST ST STE 203
TULSA, OK 74133
Tulsa County (918) 307-3120

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 Samuel Pangburn's NPI number?

The NPI number for Samuel Pangburn is 1922085216. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Samuel Pangburn located?

Samuel Pangburn practices at 10505 E 91st St Ste 203, Tulsa, OK 74133. The listed phone number is (918) 307-3120.

What is Samuel Pangburn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samuel Pangburn enrolled in Medicare?

Yes. Samuel Pangburn 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 Samuel Pangburn accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Samuel Pangburn 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 Samuel Pangburn affiliated with any hospitals?

According to CMS data, Samuel Pangburn is affiliated with Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Samuel Pangburn was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.