Deactivated NPI 1902806631 Deactivated / Inactive NPI Male Practitioner

Dr. Philip Mark Self , MD

Internal Medicine • Alva, OK

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Philip Self has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2005

NPI Deactivation Date October 19, 2022

Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Self, MD was a registered Internal Medicine practicing in Alva, OK. Throughout an active medical career spanning 17 years, Dr. Self provided care at the practice location at 410 4TH ST until profile deactivation on 2022-10-19.

Historical Medicare Part B clinical services included injection, denosumab, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

410 4th St
Ste G

Alva, OK 737172363

Telephone 5803275442

Fax 5803272207

Associated Practice Facility / Clinic

🏢 Kirt Bierig D O Inc Facility NPI 1063547164

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Alva, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Alva, OK (1179 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

10.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,300	42	$21.67	$21.38
99213 Established patient office or other outpatient visit, typically 15 minutes	1,484	330	$85.73	$85.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	520	151	$22.95	$13.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	267	60	$2.27	$1.64
J1040 Injection, methylprednisolone acetate, 80 mg	196	103	$13.32	$10.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	164	33	$65.24	$64.65
99442 Telephone medical discussion with physician, 11-20 minutes	101	84	$84.99	$84.36
17000 Destruction of skin growth	32	27	$62.94	$62.44
20610 Aspiration and/or injection of fluid from large joint	32	23	$61.38	$59.42
69210 Removal of impacted ear wax	31	26	$46.44	$44.62
17003 Destruction of precancer skin growth, 2-14 growths	27	13	$6.26	$6.21
93000 Routine ekg using at least 12 leads including interpretation and report	23	18	$16.13	$13.37
20605 Aspiration and/or injection of medium joint or joint capsule	20	15	$92.00	$50.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$52.52	$47.25
36415 Insertion of needle into vein for collection of blood sample	11	11	$3.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	4,620	47	$20.63	$20.61
99213 Established patient office or other outpatient visit, typically 15 minutes	1,996	371	$79.48	$79.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	522	177	$22.95	$13.28
J1040 Injection, methylprednisolone acetate, 80 mg	240	140	$13.33	$10.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	216	29	$67.03	$65.37
90756 Vaccine for influenza for injection into muscle	191	191	$28.35	$28.35
G0008 Administration of influenza virus vaccine	190	190	$15.73	$15.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	177	51	$2.32	$1.97
99442 Telephone medical discussion with physician, 11-20 minutes	124	94	$79.91	$79.51
20610 Aspiration and/or injection of fluid from large joint	55	41	$60.23	$58.21
93000 Routine ekg using at least 12 leads including interpretation and report	49	28	$16.13	$13.83
17000 Destruction of skin growth	38	29	$62.02	$61.69
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	18	$39.08	$38.31
17003 Destruction of precancer skin growth, 2-14 growths	33	15	$5.81	$5.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	26	$51.84	$49.64
69210 Removal of impacted ear wax	26	22	$46.44	$43.22
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	25	11	$132.54	$122.90
36415 Insertion of needle into vein for collection of blood sample	24	20	$3.00	$3.00
20605 Aspiration and/or injection of medium joint or joint capsule	18	12	$85.06	$48.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$103.83	$103.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	5,280	58	$19.57	$19.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	685	188	$22.94	$12.97
99213 Established patient office or other outpatient visit, typically 15 minutes	626	331	$71.72	$69.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	278	81	$2.27	$1.92
J1040 Injection, methylprednisolone acetate, 80 mg	153	105	$13.32	$11.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	76	47	$67.03	$65.70
G0008 Administration of influenza virus vaccine	65	65	$15.78	$15.78
90756 Vaccine for influenza for injection into muscle	64	64	$27.70	$27.70
36415 Insertion of needle into vein for collection of blood sample	19	12	$3.00	$2.99
20610 Aspiration and/or injection of fluid from large joint	17	12	$58.90	$55.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	29,325	13	$0.03	$0.03
J0897 Injection, denosumab, 1 mg	7,020	68	$18.90	$18.57
99213 Established patient office or other outpatient visit, typically 15 minutes	2,607	455	$71.19	$69.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	925	265	$22.95	$15.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	653	75	$67.03	$66.13
J1040 Injection, methylprednisolone acetate, 80 mg	389	196	$13.34	$12.25
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	336	334	$17.90	$17.48
G0008 Administration of influenza virus vaccine	334	333	$15.85	$15.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	227	33	$43.12	$42.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	206	36	$67.37	$65.99
20610 Aspiration and/or injection of fluid from large joint	97	56	$60.09	$57.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	37	$71.51	$70.39
G0009 Administration of pneumococcal vaccine	79	79	$15.90	$15.46
90670 Pneumococcal vaccine for injection into muscle	63	63	$214.91	$210.07
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	55	30	$39.08	$38.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	42	$198.83	$196.02
17000 Destruction of skin growth	48	36	$64.07	$61.11
99238 Hospital discharge day management, 30 minutes or less	46	40	$71.38	$70.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	40	$50.91	$50.13
J0696 Injection, ceftriaxone sodium, per 250 mg	42	11	$0.89	$0.60
17003 Destruction of precancer skin growth, 2-14 growths	38	17	$6.09	$5.24
99315 Nursing facility discharge day management, 30 minutes or less	38	30	$72.05	$70.57
93000 Routine ekg using at least 12 leads including interpretation and report	29	22	$16.13	$15.91
99217 Hospital observation care on day of discharge	27	25	$71.38	$70.26
69210 Removal of impacted ear wax	26	23	$46.77	$43.23
99220 Hospital observation care, typically 70 minutes	26	24	$182.49	$179.76
99306 Initial nursing facility visit, typically 45 minutes per day	26	23	$166.65	$160.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$42.88	$42.14
36415 Insertion of needle into vein for collection of blood sample	16	14	$3.00	$2.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$114.21	$111.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$103.83	$102.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	27,882	15	$0.02	$0.02
J0897 Injection, denosumab, 1 mg	6,540	71	$18.03	$17.74
99213 Established patient office or other outpatient visit, typically 15 minutes	2,707	469	$68.77	$65.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	965	256	$22.94	$17.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	687	90	$66.77	$62.95
J1040 Injection, methylprednisolone acetate, 80 mg	400	212	$13.10	$12.87
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	314	314	$17.86	$17.42
G0008 Administration of influenza virus vaccine	312	312	$19.05	$18.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	172	19	$42.44	$40.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	172	40	$66.15	$62.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	54	$70.09	$66.59
20610 Aspiration and/or injection of fluid from large joint	94	58	$62.61	$56.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	59	$194.50	$185.11
99238 Hospital discharge day management, 30 minutes or less	68	58	$69.83	$66.46
69210 Removal of impacted ear wax	53	42	$46.60	$43.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	53	26	$39.05	$36.86
17003 Destruction of precancer skin growth, 2-14 growths	49	14	$7.89	$4.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	33	$50.59	$47.81
17000 Destruction of skin growth	33	29	$66.50	$55.99
99315 Nursing facility discharge day management, 30 minutes or less	31	28	$69.48	$66.10
G0009 Administration of pneumococcal vaccine	30	30	$20.24	$18.73
90670 Pneumococcal vaccine for injection into muscle	29	29	$201.67	$197.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	20	$41.37	$38.98
99306 Initial nursing facility visit, typically 45 minutes per day	23	23	$160.38	$151.85
20605 Aspiration and/or injection of medium joint or joint capsule	22	15	$110.91	$50.78
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$15.87	$14.95
99220 Hospital observation care, typically 70 minutes	17	16	$175.66	$167.89
99217 Hospital observation care on day of discharge	16	15	$69.83	$66.46
36415 Insertion of needle into vein for collection of blood sample	16	16	$3.20	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	5,040	55	$16.79	$16.34
99213 Established patient office or other outpatient visit, typically 15 minutes	2,754	476	$69.26	$63.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	823	242	$22.95	$21.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	495	84	$66.78	$61.52
J1040 Injection, methylprednisolone acetate, 80 mg	340	186	$10.43	$10.22
G0008 Administration of influenza virus vaccine	318	313	$23.51	$23.03
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	312	311	$17.91	$17.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	183	57	$69.66	$64.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	104	23	$66.57	$61.39
20610 Aspiration and/or injection of fluid from large joint	97	61	$61.02	$54.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	69	$40.36	$37.97
99238 Hospital discharge day management, 30 minutes or less	76	56	$69.64	$64.13
17003 Destruction of precancer skin growth, 2-14 growths	68	13	$5.17	$4.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	52	$195.35	$182.63
J0696 Injection, ceftriaxone sodium, per 250 mg	58	13	$0.59	$0.53
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	50	12	$43.07	$39.70
69210 Removal of impacted ear wax	48	35	$46.62	$40.88
17000 Destruction of skin growth	47	39	$62.78	$57.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	35	21	$39.04	$35.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	32	$50.20	$46.97
99315 Nursing facility discharge day management, 30 minutes or less	25	21	$70.09	$65.35
93000 Routine ekg using at least 12 leads including interpretation and report	18	15	$15.75	$14.59
99217 Hospital observation care on day of discharge	17	16	$68.97	$65.07
10060 Simple or single drainage of skin abscess	16	15	$109.29	$102.87
99220 Hospital observation care, typically 70 minutes	14	13	$177.79	$167.32
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$126.08	$116.47
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	12	12	$209.14	$196.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 14793

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Lindsey Head , PA-C

Physician Assistant

NPI 1295006476

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated October 19, 2022

Record deactivated on October 19, 2022

✅

NPI Profile Active June 18, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2008

Registered at 410 4TH ST, STE G, ALVA, OK 737172363 (Tel: 5803275442)

📍

Updated Business Mailing Address June 18, 2008

Registered at 410 4TH ST, STE G, ALVA, OK 737172363 (Tel: 5803275442)

👤

Provider Name / Credentials Updated June 18, 2008

Recorded as PHILIP SELF, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2008

Internal Medicine (License #14793 in OK)

🟢

Initial NPI Registration & Enumeration July 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1902806631

Entity Type:

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

Enumeration Date: July 22, 2005

Last Update: June 18, 2008

Deactivation Date: October 19, 2022

Update or Correct Profile

Mailing Address

410 4th St, Ste G

Alva, OK 737172363

Phone: 5803275442

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.