MARIAN CLOPTON P.A.
NPI 1851539969
Physician Assistant in Oklahoma City, OK
NPI Status: Active since January 27, 2009
Contact Information
619 NE 13TH ST
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-6110
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About MARIAN CLOPTON
This page provides the complete NPI Profile along with additional information for Marian Clopton, a primary care provider established in Oklahoma City, Oklahoma with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1851539969 assigned on January 2009. The practitioner's primary taxonomy code is 363A00000X with license number 1805 (OK). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1851539969
- Provider Name
- MARIAN CLOPTON P.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 619 NE 13TH ST OKLAHOMA CITY, OK 73104
- Location Phone
- (405) 271-6110
- Mailing Address
- 619 NE 13TH ST OKLAHOMA CITY, OK 73104
- Mailing Phone
- (405) 271-6110
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-27-2009
- Last Update Date
- 02-20-2012
- Code Navigator
A primary care provider (PCP) like Marian Clopton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1805
- License State
- OK
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Marian Clopton 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Insertion of needle into vein for collection of blood sample
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.
This service was performed 14 times for 14 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 12 times for 12 patientsPhysician 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.
Reviews for MARIAN CLOPTON P.A.
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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 | 8 | 5 | 1 | 5 | 3 | 9 | 9 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 10 | 3 | 18 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 1 + 0 + 3 + 1 + 8 + 9 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1851539969 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578532503 | PAMELA S ALLEN MD Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1376523530 | DARREL RAY ARTHURS JR. NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1407177538 | DR. JARAD LEVIN M.D. Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1699124768 | DR. BRIGITTE NICOLE WORLEY SALLEE M.D. Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1710195003 | DR. TRAVIS WAYNE BLALOCK M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1871121848 | SONALI NANDA Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1285263038 | DR. COURTNEY ALEXANDRA COOK DO Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1558487363 | MS. JILL D. MCGRAW P.A. Individual | Physician Assistant (Medical) | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1992381834 | AAMINAH FAHEEM AZHAR MD Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1083292783 | DANIEL HYMAN DO Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1982280400 | JOSHUA MATTHEW BRADY MD Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1710553987 | AMANDA SYDNEY WEISSMAN MD Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
| 1316200413 | DR. LINDSEY KAY COLLINS M.D. Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-4662 |
| 1174266639 | DR. CHASE ANDREW PITCHFORD Individual | Dermatology | 619 NE 13TH ST OKLAHOMA CITY, OK 73104 (405) 271-6110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851539969, enumerated in the NPI registry as an "individual" on January 27, 2009
The provider is located at 619 Ne 13th St Oklahoma City, Ok 73104 and the phone number is (405) 271-6110
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma 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.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes and Insertion of needle into vein for collection of blood sample.
This NPI record was last updated on January 27, 2009. 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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