Active NPI 1518996958 Individual Practitioner Male Practitioner

Dr. Justin B Plaxico , DO

Surgery • Ada, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Justin Plaxico, DO is a certified Surgery practicing in Ada, OK. With approximately 26 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 2000, Dr. Plaxico delivers high-quality medical care to the local community at 435 N MONTE VISTA ST.

Dr. Plaxico is affiliated with Mercy Clinic Oklahoma Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

435 N Monte Vista St

Ada, OK 748204676

Telephone 5803100102

Fax 5803100104

Associated Practice Facility / Clinic

🏢 Ada Mri Associates, L.l.c. Facility NPI 1922044841

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ada, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +11.4 yrs vs City Avg

City Avg: 14.6 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Ada, OK (386 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plaxico (26 Years) 26 Yrs

Ada Specialty Average (14.6 Years) 14.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	66	64	$305.00	$76.19
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$117.00	$66.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$222.00	$120.21
99213 Established patient office or other outpatient visit, typically 15 minutes	49	48	$129.00	$83.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$170.00	$103.20
45380 Biopsy of large bowel using an endoscope	40	40	$656.00	$158.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	29	$79.00	$51.89
99441 Telephone medical discussion with physician, 5-10 minutes	34	34	$78.35	$51.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	29	$732.00	$232.64
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$625.00	$165.57
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$164.00	$76.25
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2114.00	$664.63
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$625.00	$148.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$625.00	$161.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$117.00	$67.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	69	66	$305.00	$94.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$170.00	$105.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	49	$79.00	$52.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$222.00	$122.12
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$129.00	$84.69
99221 Initial hospital inpatient care per day, typically 30 minutes	41	41	$164.00	$79.12
45380 Biopsy of large bowel using an endoscope	37	37	$656.00	$166.80
99441 Telephone medical discussion with physician, 5-10 minutes	31	30	$79.00	$52.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$117.00	$75.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$732.00	$238.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$80.00	$47.40
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$625.00	$173.18
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2114.00	$650.89
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$625.00	$172.67
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$52.00	$17.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$625.00	$172.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$170.00	$103.72
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$129.00	$85.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	17	$117.00	$68.03
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$117.00	$67.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$305.00	$71.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	23	$222.00	$128.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$253.23	$128.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$194.17	$107.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$72.32	$37.19
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$132.88	$87.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	14	$1623.00	$68.74
76937 Ultrasonic guidance for blood vessel access	14	14	$95.57	$12.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2632.15	$657.52
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$314.55	$16.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$193.00	$102.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$252.00	$135.75
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$131.80	$71.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$1253.00	$102.45
45380 Biopsy of large bowel using an endoscope	27	27	$1721.00	$179.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$2624.00	$718.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	16	$72.00	$38.94
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$1441.00	$181.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$192.00	$103.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	12	$132.00	$71.29
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$312.00	$18.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1943.00	$248.62
76937 Ultrasonic guidance for blood vessel access	18	18	$95.00	$14.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$77.00	$43.37
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$4249.00	$324.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$206.24	$103.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	71	$830.53	$98.15
99213 Established patient office or other outpatient visit, typically 15 minutes	65	63	$138.86	$71.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$289.82	$134.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$316.18	$157.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$204.08	$104.26
45380 Biopsy of large bowel using an endoscope	33	33	$950.00	$180.58
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$143.64	$72.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	30	30	$1676.33	$704.71
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$810.96	$177.96
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	25	$55.68	$18.56
76937 Ultrasonic guidance for blood vessel access	24	24	$34.00	$14.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	13	$150.71	$71.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$1020.74	$325.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1029.00	$252.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$429.44	$198.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$84.39	$42.71
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	16	$694.53	$181.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$83.27	$38.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	111	111	$140.97	$70.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$204.00	$100.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	79	77	$799.00	$97.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	60	$295.00	$132.81
99213 Established patient office or other outpatient visit, typically 15 minutes	50	47	$137.00	$68.69
45380 Biopsy of large bowel using an endoscope	41	41	$950.00	$199.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$82.00	$40.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$595.00	$184.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	16	$85.00	$38.10
76937 Ultrasonic guidance for blood vessel access	29	29	$34.00	$14.14
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$745.36	$173.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	25	$45.00	$18.26
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	24	24	$1548.80	$705.74
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1029.00	$244.62
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$874.00	$333.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$156.00	$70.61
43249 Balloon dilation of esophagus using an endoscope	13	13	$432.00	$137.80
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$215.00	$98.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	217	217	$140.00	$69.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	53	$81.00	$39.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	47	$798.18	$103.70
45380 Biopsy of large bowel using an endoscope	44	44	$948.14	$198.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	37	$293.46	$131.61
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$137.00	$68.42
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$595.00	$179.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$1029.00	$248.67
76937 Ultrasonic guidance for blood vessel access	29	28	$34.00	$14.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	15	$83.63	$37.81
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	26	25	$45.00	$18.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$204.00	$99.06
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	20	$874.00	$331.56
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$1523.43	$693.78
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$771.71	$178.04
43249 Balloon dilation of esophagus using an endoscope	13	11	$432.00	$131.16
49505 Repair of groin hernia (5 years or older)	12	12	$1103.33	$503.03

Medical Specialties & State Licenses

CMS Verified: 2022-08-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 3875

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Mercy Clinic Oklahoma Communities

435 N Monte Vista St, Ada, OK 748204676

Phone: 5803100102

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Celeste Adrian , MD

Surgery

NPI 1265796023

Doctor of Medicine (M.D.)

Dr. Ghaith Al-Qudah , MD

Surgery

NPI 1629421409

Doctor of Medicine (M.D.)

Dr. Robert Waddell , MD

Surgery

NPI 1750485058

Doctor of Medicine (M.D.)

Dr. Douglas Thornton , DO

Surgery

NPI 1780071571

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location August 11, 2022

Registered at 435 N MONTE VISTA ST, ADA, OK 748204676 (Tel: 5803100102)

📍

Updated Business Mailing Address August 11, 2022

Registered at 435 N MONTE VISTA ST, ADA, OK 748204676 (Tel: 5803100102)

📍

Updated Practice Location October 30, 2019

Registered at 2 E CLARK BASS BLVD STE 301, MCALESTER, OK 745014286 (Tel: 9184216846)

📍

Updated Business Mailing Address October 30, 2019

Registered at 2 E CLARK BASS BLVD STE 301, MCALESTER, OK 745014286 (Tel: 9184216846)

📍

Updated Practice Location August 02, 2018

Registered at 1401 E VAN BUREN AVE, MCALESTER, OK 74501 (Tel: 9184260240)

✅

NPI Profile Active February 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2014

Registered at 1401 E VAN BUREN AVE, MCALESTER, OK 745014245 (Tel: 9184260240)

📍

Updated Business Mailing Address February 27, 2014

Registered at 6600 S YALE AVE, SUITE 1400, TULSA, OK 741363347 (Tel: 9184886001)

👤

Provider Name / Credentials Updated February 27, 2014

Recorded as JUSTIN PLAXICO, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2014

Surgery (License #3875 in OK)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518996958

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2006

Last Update: August 11, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

435 N Monte Vista St

Ada, OK 748204676

Phone: 5803100102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.