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MR. JOSE ANTONIO SANCLEMENT MD
NPI 1982721098
Otolaryngology - Plastic Surgery within the Head & Neck in Oklahoma City, OK

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
825 NE 10TH, SUITE 4200, OKLAHOMA CITY, OK 73104(405) 271-7559 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jose Antonio Sanclement Md NPPES

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

MR. JOSE ANTONIO SANCLEMENT MD (NPI 1982721098) is an individual plastic surgery within the head & neck provider in Oklahoma City, Oklahoma, licensed in Oklahoma (25575) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1982721098
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameMR. JOSE ANTONIO SANCLEMENTCredential: MD
Location Address825 NE 10TH, SUITE 4200Oklahoma City, OK 73104
Mailing Address920 Stanton L Young, Wp 1290Oklahoma City, OK 73104 · (405) 271-5504 · Fax (405) 271-3248
Phone(405) 271-7559
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 23, 2007
Last NPPES UpdateMay 5, 2010
✔ NPI 1982721098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Licenses✔ Licensed in OK · 25575✔ Licensed in MA · 228320✔ Licensed in WV · 22339
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
825 NE 10TH, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jose Antonio Sanclement Md 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 ID4385736537
PECOS Enrollment IDI20070817000554
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Sanclement reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Regents Of The University Of Oklahoma - Ou Physicians
Same address
Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 clinicians in this Medicare group
NPI 1801869250 (405) 271-3932
Ou Health Partners, Inc
Same address
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
NPI 1528642642 (405) 271-3932

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
139 services85 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.
97 services58 patients
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.
21 services21 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
19 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma 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

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 9

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

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
4 suppliers31 claims2,145 services$2.15 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
2 suppliers14 claims120 services$3.25 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers22 claims657 services$4.48 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
3 suppliers12 claims21 services$7.54 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
3 suppliers21 claims314 services$3.27 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers17 claims341 services$2.98 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 2

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

JOSEPH P DAVEY MD
Orthopaedic Surgery
825 NE 10TH, OUPB1300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6667
CHAD MICHAEL SMITH MD
Obstetrics & Gynecology
825 NE 10TH, SUITE 3300
OKLA CITY, OK 73104
Oklahoma County (405) 271-5239

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 Jose Sanclement's NPI number?

The NPI number for Jose Sanclement is 1982721098. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Jose Sanclement located?

Jose Sanclement practices at 825 NE 10th Suite 4200, Oklahoma City, OK 73104. The listed phone number is (405) 271-7559.

What is Jose Sanclement's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Jose Sanclement enrolled in Medicare?

Yes. Jose Sanclement 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.

Which organizations bill Medicare for Jose Sanclement's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Sanclement reassigns Medicare benefits to 2 organizations: Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK) and Ou Health Partners, Inc (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Sanclement's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Sanclement accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Jose Sanclement 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 Jose Sanclement affiliated with any hospitals?

According to CMS data, Jose Sanclement is affiliated with Mercy Hospital Oklahoma City, Inc and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Sanclement was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.