NATHAN BLAKE JOHN MD
NPI 1972036168
Family Medicine in Edmond, OK

Active since April 05, 2017Opted out of Medicare · through Feb 1, 2027
85.7/100
CMS Quality Rating
15318 N MAY AVE STE B, EDMOND, OK 73013(405) 970-8020 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Apr 15, 2022, Dec 31, 2018 (3 updates tracked since 2018).

About Nathan Blake John Md NPPES

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

NATHAN BLAKE JOHN MD (NPI 1972036168) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (32942) and active in the NPI registry since April 2017. He has opted out of Medicare through February 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972036168
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN BLAKE JOHNCredential: MD
Location Address15318 N MAY AVE STE BEdmond, OK 73013-8864
Mailing Address15318 N May Ave Ste BEdmond, OK 73013-8864 · (405) 970-8020
Sole ProprietorNo
Enumeration DateApril 5, 2017
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
NPI 1972036168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 32942
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.
15318 N MAY AVE STE B, Edmond, OK 73013

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nathan Blake John Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2023 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2023
Opt-Out In Effect ThroughFebruary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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.

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.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

Other Providers at the Same Location NPPES 2

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

Family Medicine
15318 N MAY AVE STE B
EDMOND, OK 73013
Internal Medicine
15318 N MAY AVE STE B
EDMOND, OK 73013

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 Nathan John's NPI number?

The NPI number for Nathan John is 1972036168. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Nathan John located?

Nathan John practices at 15318 N May Ave Ste B, Edmond, OK 73013. The listed phone number is (405) 970-8020.

What is Nathan John's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nathan John enrolled in Medicare?

No. Nathan John has opted out of Medicare through February 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Nathan John accept?

Health plans from Mending Health list Nathan John 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.

When was this NPI record last updated?

The NPPES record for Nathan John was last updated on March 6, 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.