Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487854642 Individual Practitioner Male Practitioner

Dr. Derek Todd Landis , MD

Pediatrics • Ardmore, OK

Professional Overview & Biography Verified Profile Summary

Dr. Derek Landis, MD is a registered healthcare professional specializing in Pediatrics in Ardmore, OK. Practice services are available at 921 14TH AVE NW under active NPI credentials.

Frequently performed procedures and clinical services include injection beneath the skin or into muscle for therapy, diagnosis, or prevention, injection, methylprednisolone sodium succinate, up to 125 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

921 14th Ave Nw

Ardmore, OK 734011837

Telephone 5802235311
Fax 5802238227
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ardmore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Ardmore, OK (730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.1% 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 (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
25 22 $46.00 $15.73
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg
14 14 $10.00 $6.02

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 25666

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oklahoma Medical License
25666 (OK)
Commercial Insurance / Payer ID Obndd License
36032 (OK)

Practice Associates & Co-Workers

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

13 Associated Practitioners
NPI 1194779975

Doctor of Medicine (M.D.)

NPI 1235176629

Doctor of Medicine (M.D.), FACS

NPI 1306845367

Doctor of Osteopathic Medicine (D.O.)

Sallie Walker , MS, RN, ARNP

Nurse Practitioner - Family

NPI 1306889878

Master of Science, Registered Nurse, Advanced Registered Nurse Practitioner

S Dawnita Sampson , APRN-CNP

Nurse Practitioner - Family

NPI 1366938391

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Summer Kirby , MD

Family Medicine

NPI 1376703595

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2014

Registered at 921 14TH AVE NW, ARDMORE, OK 734011837 (Tel: 5802235311)

📍
Updated Business Mailing Address May 20, 2014

Registered at 4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 731341785 (Tel: 4057523162)

👤
Provider Name / Credentials Updated May 20, 2014

Recorded as DEREK LANDIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2014

Pediatrics (License #25666 in OK)

🟢
Initial NPI Registration & Enumeration July 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487854642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2007
Last Update: May 20, 2014
Sole Proprietor: No

Mailing Address

4401 W Memorial Rd, Suite 140

Oklahoma City, OK 731341785

Phone: 4057523162

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.