CRAIG E RICE M.D.
NPI 1932175320
Family Medicine in Norman, OK
NPI Status: Active since February 24, 2006
Contact Information
620 ELM AVE
NORMAN, OK
ZIP 73019
Phone: (405) 325-4611
Fax: (405) 325-7065
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About CRAIG RICE
This page provides the complete NPI Profile along with additional information for Craig Rice, a primary care provider established in Norman, Oklahoma with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1932175320 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 16741 (OK). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1932175320
- Provider Name
- CRAIG E RICE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 620 ELM AVE NORMAN, OK 73019
- Location Phone
- (405) 325-4611
- Location Fax
- (405) 325-7065
- Mailing Address
- 620 ELM AVE NORMAN, OK 73019
- Mailing Phone
- (405) 325-4611
- Mailing Fax
- (405) 325-7065
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-24-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Craig Rice 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 16741
- License State
- OK
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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
- 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
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 |
|---|---|---|---|
| E52069 | MEDICARE UPIN (02) | OK |
Medicare Participation & PECOS Enrollment Status
Craig Rice 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.
Adm sarscv2 30mcg trs-sucr b
Fee covid-19 vac 13 res
Influenza vaccine split virus, preservative free
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
This service was performed 23 times for 23 patientsThe "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
This service was performed 11 times for 11 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 11 times for 11 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 73019 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 99214
- Average Established Patient Price $94.27
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $132.4
- Average Established Patient Copayment $23.56
- 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 | 9 | 3 | 2 | 1 | 7 | 5 | 3 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 2 | 7 | 10 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 2 + 7 + 1 + 0 + 3 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1932175320 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275509929 | CHRISTY KAYLEE BARRETT PA-C Individual | Physician Assistant (Medical) | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1255307518 | VIVIAN S HOUNG M.D. Individual | Family Medicine | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1720055692 | KATHRIN ANDREWS ELIOT R.D. Individual | Dietitian, Registered | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1518936103 | LESTER DOYLE JENSEN JR. DOCTOR OF PHARMACY Individual | Pharmacist | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1740259118 | NEAL W BARNES DOCTOR OF PHARMACY Individual | Pharmacist | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1629038435 | CARL SPENCER WHITTLE DOCTOR OF PHARMACY Individual | Pharmacist | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1982662227 | ALISE A OSIS PA-C Individual | Physician Assistant (Medical) | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1548372626 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA--OU HEALTH SERVICES Organization | Clinic/Center (Student Health) | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1073643409 | SCOTT M MILLER PHD Individual | Counselor | 620 ELM AVE NORMAN, OK 73019 (405) 325-2700 |
| 1194855536 | JENNIFER P CLARK PHD Individual | Counselor | 620 ELM AVE NORMAN, OK 73019 (405) 325-2700 |
| 1760512115 | NANCY A CURRY M.D. Individual | Counselor | 620 ELM AVE NORMAN, OK 73019 (405) 325-2700 |
| 1316078181 | WILLIAM R. WAYNE PHD Individual | Psychologist | 620 ELM AVE NORMAN, OK 73019 (405) 325-2700 |
| 1831593755 | DR. LUKE BELSKY PH.D. Individual | Psychologist (Counseling) | 620 ELM AVE NORMAN, OK 73019 (405) 325-2911 |
| 1013378512 | DR. JUSTIN WYCKOFF PHD Individual | Psychologist (Counseling) | 620 ELM AVE SUITE 201 NORMAN, OK 73019 (405) 325-2911 |
| 1578992293 | HILLARY JO SWEETIN-LEWIS PA-C Individual | Physician Assistant | 620 ELM AVE NORMAN, OK 73019 (405) 325-4611 |
| 1568191278 | MR. MATTHEW STEPHAN CANCIO Individual | Counselor (Mental Health) | 620 ELM AVE NORMAN, OK 73019 (405) 325-2911 |
| 1194349183 | NATALIE DELANA WANSICK PT, DPT Individual | Physical Therapist | 620 ELM AVE NORMAN, OK 73019 (405) 325-5847 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932175320, enumerated in the NPI registry as an "individual" on February 24, 2006
The provider is located at 620 Elm Ave Norman, Ok 73019 and the phone number is (405) 325-4611
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma,. 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 $94.27 and an average copayment of 23.56. 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: Adm sarscv2 30mcg trs-sucr b, Fee covid-19 vac 13 res and Influenza vaccine split virus, preservative free.
This NPI record was last updated on February 24, 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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