KIMBERLY MICHELLE ROARK MD
NPI 1992965602
Obstetrics & Gynecology in Ada, OK

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
1921 STONECIPHER DR, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2018, Feb 16, 2018 (2 updates tracked since 2018).

About Kimberly Michelle Roark Md NPPES

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

KIMBERLY MICHELLE ROARK MD (NPI 1992965602) is an individual obstetrics & gynecology provider in Ada, Oklahoma, licensed in Oklahoma (28987) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of University Of Alabama School Of Medicine (2008).

NPPES Registry Identity

NPI1992965602
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIMBERLY MICHELLE ROARKCredential: MD
Location Address1921 STONECIPHER DRAda, OK 74820-3439
Mailing Address1925 Warrior WayAda, OK 74820 · (580) 421-4570
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2008
Enumeration DateJune 16, 2008
Last NPPES UpdateAugust 20, 20182 updates tracked since enumeration
NPI 1992965602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OK · 28987
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1921 STONECIPHER DR, Ada, OK 74820

Other Identifiers 1

Medicaid2004399800AOK

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

Kimberly Michelle Roark 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 ID5395901870
PECOS Enrollment IDI20180810002538
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

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 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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
$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.

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.

Physician Assistant
1921 STONECIPHER DR
ADA, OK 74820
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Midwife
1921 STONECIPHER DR
ADA, OK 74820
Student in an Organized Health Care Education/Training Program
1921 STONECIPHER DR
ADA, OK 74820
Physician Assistant (Medical)
1921 STONECIPHER DR
ADA, OK 74820
Counselor
1921 STONECIPHER DR
ADA, OK 74820
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Dentist
1921 STONECIPHER DR
ADA, OK 74820

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 Kimberly Roark's NPI number?

The NPI number for Kimberly Roark is 1992965602. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Kimberly Roark located?

Kimberly Roark practices at 1921 Stonecipher Dr, Ada, OK 74820. The listed phone number is (580) 436-3980.

What is Kimberly Roark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kimberly Roark enrolled in Medicare?

Yes. Kimberly Roark 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 Kimberly Roark accept?

Health plans from UnitedHealthcare list Kimberly Roark 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 Kimberly Roark affiliated with any hospitals?

According to CMS data, Kimberly Roark is affiliated with Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Roark was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.