ROY N GRANTHAM MD
NPI 1568457265
Surgery - Vascular Surgery in Oklahoma City, OK
NPI Status: Active since September 19, 2005
Contact Information
4221 S WESTERN AVE
2010
OKLAHOMA CITY, OK
ZIP 73109
Phone: (405) 231-0540
Fax: (405) 644-5309
- Individual
- Male
- Surgery
- Vascular Surgery
- PECOS Enrolled
About ROY GRANTHAM
This page provides the complete NPI Profile along with additional information for Roy Grantham, a provider established in Oklahoma City, Oklahoma with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1568457265 assigned on September 2005. The practitioner's primary taxonomy code is 2086S0129X with license number 16465 (OK). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1568457265
- Provider Name
- ROY N GRANTHAM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4221 S WESTERN AVE 2010 OKLAHOMA CITY, OK 73109
- Location Phone
- (405) 231-0540
- Location Fax
- (405) 644-5309
- Mailing Address
- 3545 NW 58TH ST 450 OKLAHOMA CITY, OK 73112
- Mailing Phone
- (405) 951-4360
- Mailing Fax
- (405) 644-5309
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2005
- Last Update Date
- 12-04-2014
- 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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 16465
- License State
- OK
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 060052653 | OTHER (01) | RAILROAD MEDICARE | |
| 125309100 | OTHER (01) | OK | DOL |
| 100122170A | MEDICAID (05) | OK | |
| 5765290 | OTHER (01) | OK | AETNA |
| 365531YSGZ | MEDICARE PIN (08) | OK | |
| E15964 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Roy Grantham 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 73109 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.
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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 | 5 | 6 | 8 | 4 | 5 | 7 | 2 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 8 | 5 | 14 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 8 + 5 + 1 + 4 + 2 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1568457265 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1164470308 | DR. HARVEY A DRAPKIN D.O. Individual | Psychiatry & Neurology (Neurology) | 4221 S WESTERN AVE SUITE 5000 OKLAHOMA CITY, OK 73109 (405) 644-5160 |
| 1487605952 | DR. RONAL DEAN HALE M.D. Individual | Specialist | 4221 S WESTERN AVE OKLAHOMA CITY, OK 73109 (405) 631-0753 |
| 1689738668 | ISMC NEUROLOGY SPECIALISTS Organization | Psychiatry & Neurology (Neurology) | 4221 S WESTERN AVE SUITE 5000 OKLAHOMA CITY, OK 73109 (405) 644-5160 |
| 1427190057 | AMAL E MOORAD M.D. Individual | Physical Medicine & Rehabilitation | 4221 S WESTERN AVE STE 3010 OKLAHOMA CITY, OK 73109 (405) 636-7450 |
| 1295857399 | BRUCE A DANIELS MD PC Organization | Internal Medicine (Cardiovascular Disease) | 4221 S WESTERN AVE SUITE 4045 OKLAHOMA CITY, OK 73109 (405) 636-1166 |
| 1609097450 | DR. JENNIFER YVETTE MAUNE PHARM.D. Individual | Pharmacist | 4221 S WESTERN AVE SUITE 1045 OKLAHOMA CITY, OK 73109 (405) 644-5128 |
| 1245440056 | DAVID H CHANSOLME MD PC Organization | Internal Medicine (Infectious Disease) | 4221 S WESTERN AVE SUITE 4010 OKLAHOMA CITY, OK 73109 (405) 644-6464 |
| 1770771891 | ANTHONY W CZERWINSKI MD INC Organization | Internal Medicine (Nephrology) | 4221 S WESTERN AVE STE 2040 OKLAHOMA CITY, OK 73109 (405) 644-5151 |
| 1235309774 | ENGLES CLINIC Organization | General Practice | 4221 S WESTERN AVE SUITE 4035 OKLAHOMA CITY, OK 73109 (405) 644-5130 |
| 1134378441 | SURGICAL SPECIALISTS OF OKLAHOMA, PLLC Organization | Durable Medical Equipment & Medical Supplies | 4221 S WESTERN AVE STE. 5020 OKLAHOMA CITY, OK 73109 (405) 636-7412 |
| 1205076270 | TIMOTHY RATHBUN, D.O., P.C. Organization | Psychiatry & Neurology (Neurology) | 4221 S WESTERN AVE S-5000 OKLAHOMA CITY, OK 73109 (405) 644-5160 |
| 1497984264 | FARHAT HUSAIN, M.D., PC Organization | Psychiatry & Neurology (Clinical Neurophysiology) | 4221 S WESTERN AVE SUITE 5000 OKLAHOMA CITY, OK 73109 (405) 644-5160 |
| 1225345788 | BAPTIST HEALTHCARE OF OKLAHOMA INC Organization | Neurological Surgery | 4221 S WESTERN AVE SUITE 5045 OKLAHOMA CITY, OK 73109 (405) 644-5185 |
| 1225308810 | RUSSELL ADAM WHEELER PA-C Individual | Physician Assistant | 4221 S WESTERN AVE SUITE 5000 OKLAHOMA CITY, OK 73109 (405) 644-5165 |
| 1124393855 | CHARLES MORGAN MD PC Organization | Psychiatry & Neurology (Neurology) | 4221 S WESTERN AVE SUITE 5000 OKLAHOMA CITY, OK 73109 (405) 644-5160 |
| 1659347391 | JOHN C CAREY MD Individual | Surgery | 4221 S WESTERN AVE STE 4005 OKLAHOMA CITY, OK 73109 (405) 632-4252 |
| 1134163611 | JONATHAN L DAVIS M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4221 S WESTERN AVE STE 3010 OKLAHOMA CITY, OK 73109 (405) 644-6232 |
| 1194122192 | SOUTHWEST PULMONARY & SLEEP CONSULTANTS Organization | Internal Medicine (Pulmonary Disease) | 4221 S WESTERN AVE SUITE 2045 OKLAHOMA CITY, OK 73109 (405) 631-5188 |
| 1457343402 | DAVID HENRI CHANSOLME MD Individual | Internal Medicine (Infectious Disease) | 4221 S WESTERN AVE #4010 OKLAHOMA CITY, OK 73109 (405) 644-6464 |
| 1770521064 | JOSHUA C KERSHEN M.D. Individual | Psychiatry & Neurology (Neurology) | 4221 S WESTERN AVE 5000 OKLAHOMA CITY, OK 73109 (405) 644-5165 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568457265, enumerated in the NPI registry as an "individual" on September 19, 2005
The provider is located at 4221 S Western Ave 2010 Oklahoma City, Ok 73109 and the phone number is (405) 231-0540
The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Aetna. 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: Durable Medical Equipment (DME) 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 September 19, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.