MRS. MARY SAMANTHA BAZE - NPI 1942962568 - Family Medicine in Durant, OK

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Mrs. Mary Samantha Baze NPPES

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

MRS. MARY SAMANTHA BAZE (NPI 1942962568) is an individual family medicine provider in Durant, Oklahoma, licensed in Oklahoma (8813) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1942962568

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. MARY SAMANTHA BAZE

Location Address1400 BRYAN DR STE 201Durant, OK 74701-2157

Mailing Address1400 Bryan Dr Ste 201Durant, OK 74701-2157 · (580) 924-5500 · Fax (580) 924-1991

Phone(580) 924-5500

Fax(580) 924-1991

Sole ProprietorNo

Enumeration DateOctober 11, 2021

Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2025

✔ NPI 1942962568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 8813

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1400 BRYAN DR STE 201, Durant, OK 74701

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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 582-1972

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Samantha Baze is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74701 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.