DR. MICHAEL GENE SPAIN M.D.
NPI 1952357733
Internal Medicine - Interventional Cardiology in Muskogee, OK

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
300 ROCKEFELLER DR, MUSKOGEE, OK 74401(918) 494-8500(918) 307-5578 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2024, Jun 13, 2019 (2 updates tracked since 2019).

About Dr. Michael Gene Spain M.d. NPPES

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

DR. MICHAEL GENE SPAIN M.D. (NPI 1952357733) is an individual interventional cardiology provider in Muskogee, Oklahoma, licensed in Oklahoma (14359) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1952357733
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. MICHAEL GENE SPAINCredential: M.D.
Location Address300 ROCKEFELLER DRMuskogee, OK 74401-5075
Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331 · (918) 488-6001
Fax(918) 307-5578
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1982
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
NPI 1952357733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in OK · 14359
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 14359 (OK)
300 ROCKEFELLER DR, Muskogee, OK 74401

Secondary Practice Location 1

Location 16151 S Yale Ave Ste 100ATulsa, OK 74136-1929 · Phone (918) 494-8500 · Fax (918) 307-5578

Other Identifiers 2

OtherP00409641OK · Railroad Medicare
Medicaid100 136 250 BOK

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. Michael Gene Spain 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 ID3274435821
PECOS Enrollment IDI20070616000067
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,641 services1,343 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
729 services718 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
157 services157 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
152 services150 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
96 services96 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
45 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

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

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee 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 74401 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
$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.

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 20

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

Hospitalist
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Family Medicine
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Physician Assistant (Medical)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Clinic/Center (Medical Specialty)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Psychiatry & Neurology (Psychiatry)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Hospitalist
300 ROCKEFELLER DR, REHABILITATION UNIT
MUSKOGEE, OK 74401
Rehabilitation Unit
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Hospitalist
300 ROCKEFELLER DR
MUSKOGEE, OK 74401

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 Spain's NPI number?

The NPI number for Michael Spain is 1952357733. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Michael Spain located?

Michael Spain practices at 300 Rockefeller Dr, Muskogee, OK 74401. The listed phone number is (918) 494-8500.

What is Michael Spain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Michael Spain enrolled in Medicare?

Yes. Michael Spain 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 Michael Spain accept?

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

According to CMS data, Michael Spain is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc, Cherokee Nation W W Hastings Indian Hospital and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Michael Spain was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.