WILLIAM R PUFFINBARGER MD
NPI 1356319867
Orthopaedic Surgery in Oklahoma City, OK
Quality Rating: 76.47 out of 100 score
NPI Status: Active since March 09, 2006
Contact Information
825 NE 10TH ST
OUPB1300
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-6667
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About WILLIAM PUFFINBARGER
This page provides the complete NPI Profile along with additional information for William Puffinbarger, a provider established in Oklahoma City, Oklahoma with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1356319867 assigned on March 2006. The practitioner's primary taxonomy code is 207X00000X with license number 18040 (OK). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1356319867
- Provider Name
- WILLIAM R PUFFINBARGER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 825 NE 10TH ST OUPB1300 OKLAHOMA CITY, OK 73104
- Location Phone
- (405) 271-6667
- Mailing Address
- 1122 NE 13TH ST ORI236 OKLAHOMA CITY, OK 73117
- Mailing Phone
- (405) 271-1515
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-09-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 18040
- License State
- OK
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Standard - PPO
- Harmony by Medica Bronze $0 Copay PCP Visits - PPO
- Harmony by Medica Bronze Premier - PPO
- Harmony by Medica Catastrophic - PPO
- Harmony by Medica Expanded Bronze Standard - PPO
- Harmony by Medica Gold $0 Copay PCP Visits - PPO
- Harmony by Medica Gold Standard - PPO
- Harmony by Medica Silver $0 Copay PCP Visits - PPO
- Harmony by Medica Silver Standard - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
William Puffinbarger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 73104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.46
- Minimum New Patient Price $53
- Maximum New Patient Price $162.61
- Average New Patient Copayment $20.61
- Minimum New Patient Copayment $13.25
- Maximum New Patient Copayment $40.65
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.47, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 76.47 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 72.32
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 3 | 1 | 9 | 8 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 6 | 1 | 18 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 6 + 1 + 1 + 8 + 8 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1356319867 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790779239 | DR. CAROL A PEEK Individual | Pharmacist | 825 NE 10TH ST #2200 OKLAHOMA CITY, OK 73104 (405) 271-6446 |
| 1336121169 | DR. MARVIN WILLIAMS D.O. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 825 NE 10TH ST OUPB3200 OKLAHOMA CITY, OK 73104 (405) 271-5400 |
| 1235105933 | DR. CHARLES DOUGLAS FOLGER MD Individual | Internal Medicine | 825 NE 10TH ST OUPB2300 OKLAHOMA CITY, OK 73104 (405) 271-3445 |
| 1558338731 | JEWEL DALLAS-BRUNER LCSW Individual | Social Worker (Clinical) | 825 NE 10TH ST OUPB4300 OKLAHOMA CITY, OK 73104 (405) 271-3050 |
| 1841267036 | DR. VICKI T LAMPLEY MD,MPH Individual | Internal Medicine | 825 NE 10TH ST OUPB4300 OKLAHOMA CITY, OK 73104 (405) 271-3050 |
| 1508833732 | GERMAINE L ODENHEIMER MD Individual | Internal Medicine (Geriatric Medicine) | 825 NE 10TH ST OUPB4300 OKLAHOMA CITY, OK 73104 (405) 271-3050 |
| 1104893346 | BANU SEZGINSOY MD Individual | Internal Medicine | 825 NE 10TH ST OUPB4300 OKLAHOMA CITY, OK 73104 (405) 271-3050 |
| 1760450738 | ELISA A CROUSE MD Individual | Obstetrics & Gynecology | 825 NE 10TH ST OUPB3300 OKLAHOMA CITY, OK 73104 (405) 271-9494 |
| 1043288970 | MARIE A BERNARD MD Individual | Internal Medicine (Geriatric Medicine) | 825 NE 10TH ST OUPB 4400 OKLAHOMA CITY, OK 73104 (405) 271-3050 |
| 1154399756 | GREG A KREMPL MD Individual | Otolaryngology | 825 NE 10TH ST OUPB4200 OKLAHOMA CITY, OK 73104 (405) 271-7559 |
| 1982672721 | WINIFRED PAULINE LISLE CNM Individual | Advanced Practice Midwife | 825 NE 10TH ST OUPB3300 OKLAHOMA CITY, OK 73104 (405) 271-9494 |
| 1619945466 | PAMELA S MILES MD Individual | Obstetrics & Gynecology | 825 NE 10TH ST OUPB3300 OKLAHOMA CITY, OK 73104 (405) 271-9494 |
| 1497723126 | BADIE S MANSOUR MD Individual | Anesthesiology | 825 NE 10TH ST OUPB 4300 OKLAHOMA CITY, OK 73104 (405) 271-7255 |
| 1679541403 | DAVID O STAATS MD Individual | Internal Medicine (Geriatric Medicine) | 825 NE 10TH ST OUPB4300 OKLAHOMA CITY, OK 73104 (405) 271-3050 |
| 1467420166 | TONY G PUCKETT MD Individual | Obstetrics & Gynecology | 825 NE 10TH ST OUPB3300 OKLAHOMA CITY, OK 73104 (405) 271-9494 |
| 1922076579 | CATHERINE A GAZZANIGA MD Individual | Obstetrics & Gynecology | 825 NE 10TH ST OUPB3300 OKLAHOMA CITY, OK 73104 (405) 271-9494 |
| 1639147143 | CURTIS R GRUEL MD Individual | Orthopaedic Surgery | 825 NE 10TH ST OUPB1300 OKLAHOMA CITY, OK 73104 (405) 271-6667 |
| 1801864319 | CHARLES B PASQUE MD Individual | Orthopaedic Surgery | 825 NE 10TH ST OUPB1300 OKLAHOMA CITY, OK 73104 (405) 271-6667 |
| 1447228952 | TIMOTHY A PUCKETT MD Individual | Orthopaedic Surgery | 825 NE 10TH ST OUPB1300 OKLAHOMA CITY, OK 73104 (405) 271-6667 |
| 1316915671 | ROBERT A WILD MD, PHD, MPH Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 825 NE 10TH ST OUPB3300 OKLAHOMA CITY, OK 73104 (405) 271-9494 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356319867, enumerated in the NPI registry as an "individual" on March 09, 2006
The provider is located at 825 Ne 10th St Oupb1300 Oklahoma City, Ok 73104 and the phone number is (405) 271-6667
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.46 with an average copayment of $20.61 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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