Active NPI 1427164888 Individual Practitioner Male Practitioner

Dr. Brian Coder , DO

Family Medicine • Broken Arrow, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Coder, DO is a certified Family Medicine practicing in Broken Arrow, OK. With approximately 32 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 1994, Dr. Coder delivers high-quality medical care to the local community at 705 W OAKLAND ST.

Dr. Coder is affiliated with Broken Arrow Family Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

705 W Oakland St

Broken Arrow, OK 740121656

Telephone 9182512666

Fax 9188934036

Associated Practice Facility / Clinic

🏢 Broken Arrow Family Clinic Inc Facility NPI 1497966303

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Broken Arrow, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +7.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

56 Specialists

Practicing in Broken Arrow, OK (2480 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coder (32 Years) 32 Yrs

Broken Arrow Specialty Average (24.7 Years) 24.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	546	219	$175.00	$87.84
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	429	47	$88.00	$61.66
36415 Insertion of needle into vein for collection of blood sample	363	202	$10.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	180	$250.00	$124.09
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	308	203	$55.00	$7.52
81000 Manual urinalysis test with examination using microscope, non-automated	224	150	$25.00	$3.93
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	173	39	$76.00	$47.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	158	29	$1.00	$0.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	114	45	$45.00	$13.35
83036 Hemoglobin A1C level	96	65	$65.00	$9.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	28	$22.00	$0.88
93000 Routine ekg using at least 12 leads including interpretation and report	80	75	$72.00	$13.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	35	$260.00	$170.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	39	$80.00	$52.51
87400 Detection test for Influenza virus, A or B	46	22	$50.00	$13.61
71046 X-ray of chest, 2 views	41	34	$55.00	$31.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	37	13	$22.00	$1.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$155.00	$126.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	31	30	$75.00	$38.44
81003 Automated urinalysis test	28	28	$25.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	13	$65.00	$14.33
G0008 Administration of influenza virus vaccine	13	13	$30.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	697	251	$150.35	$83.23
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	475	72	$88.00	$58.35
36415 Insertion of needle into vein for collection of blood sample	296	190	$7.97	$7.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	293	201	$55.00	$7.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	157	$206.00	$118.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	216	62	$45.00	$12.70
81000 Manual urinalysis test with examination using microscope, non-automated	214	160	$25.00	$3.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg	164	28	$1.00	$0.11
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	161	64	$76.00	$43.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	30	$22.00	$1.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	114	31	$22.00	$1.59
93000 Routine ekg using at least 12 leads including interpretation and report	61	55	$72.00	$13.34
83036 Hemoglobin A1C level	61	37	$65.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$155.00	$119.90
71046 X-ray of chest, 2 views	48	37	$55.00	$30.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	29	$260.00	$160.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$80.00	$51.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$228.13	$153.67
87276 Detection test by immunofluorescent technique for influenza a virus	21	20	$25.00	$15.75
87275 Detection test for influenza B virus	21	20	$25.00	$12.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$145.00	$104.51
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	14	$65.00	$16.20
81003 Automated urinalysis test	16	16	$25.00	$2.20
G0008 Administration of influenza virus vaccine	15	14	$30.00	$28.68
82947 Blood glucose (sugar) level	13	11	$27.00	$3.85
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	13	12	$75.00	$40.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$260.00	$155.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	528	225	$125.00	$83.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	145	$150.00	$119.85
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	275	32	$88.00	$59.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	267	190	$55.00	$7.67
36415 Insertion of needle into vein for collection of blood sample	258	170	$6.50	$2.96
81000 Manual urinalysis test with examination using microscope, non-automated	194	150	$25.00	$3.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg	164	28	$1.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	125	50	$45.00	$13.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	110	32	$22.00	$1.15
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	84	21	$76.00	$45.00
83036 Hemoglobin A1C level	73	48	$65.00	$9.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	54	16	$22.00	$1.72
87275 Detection test for influenza B virus	40	36	$25.00	$12.08
87276 Detection test by immunofluorescent technique for influenza a virus	40	36	$25.00	$15.85
93000 Routine ekg using at least 12 leads including interpretation and report	40	38	$72.00	$13.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$157.00	$122.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	22	$80.00	$52.26
71046 X-ray of chest, 2 views	34	32	$55.00	$31.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	22	$260.00	$170.67
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$233.00	$156.59
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	22	$65.00	$15.59
90756 Vaccine for influenza for injection into muscle	19	19	$45.00	$29.87
G0008 Administration of influenza virus vaccine	19	19	$30.00	$27.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$145.00	$105.51
81003 Automated urinalysis test	16	15	$25.00	$2.22
82947 Blood glucose (sugar) level	14	13	$27.00	$3.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$260.00	$157.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	398	187	$117.16	$84.01
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	385	42	$88.00	$38.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	148	$145.81	$118.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	280	172	$54.46	$7.56
36415 Insertion of needle into vein for collection of blood sample	260	139	$6.50	$2.95
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	214	40	$76.00	$35.30
81000 Manual urinalysis test with examination using microscope, non-automated	158	116	$25.00	$3.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	112	22	$1.00	$0.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	23	$22.00	$1.24
83036 Hemoglobin A1C level	85	54	$65.00	$9.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	76	33	$45.00	$13.11
93000 Routine ekg using at least 12 leads including interpretation and report	63	58	$72.00	$13.86
71046 X-ray of chest, 2 views	50	46	$53.00	$30.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	35	11	$22.00	$1.92
91301 Sarscov2 vac 100mcg/0.5ml im	33	32	$0.01	$0.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$260.00	$167.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$65.00	$52.17
G0008 Administration of influenza virus vaccine	26	26	$30.00	$15.73
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	26	26	$59.42	$29.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$162.68	$125.26
82947 Blood glucose (sugar) level	21	18	$27.00	$3.59
0012A Adm sarscov2 100mcg/0.5ml2nd	19	19	$60.00	$36.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$233.00	$159.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$260.00	$159.71
0011A Adm sarscov2 100mcg/0.5ml1st	14	14	$60.00	$36.94
82043 Urine microalbumin (protein) level	13	11	$55.00	$5.78
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	11	$65.00	$13.78
73620 X-ray of foot, 2 views	11	11	$100.00	$26.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	401	201	$95.00	$71.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	366	58	$88.00	$39.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	157	$135.00	$102.91
36415 Insertion of needle into vein for collection of blood sample	328	178	$6.50	$2.97
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	300	180	$45.00	$7.67
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	147	52	$76.00	$35.72
81000 Manual urinalysis test with examination using microscope, non-automated	144	108	$25.00	$3.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	124	30	$22.00	$1.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	20	$1.00	$0.12
83036 Hemoglobin A1C level	98	55	$65.00	$9.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	50	$45.00	$13.44
93000 Routine ekg using at least 12 leads including interpretation and report	51	47	$72.00	$15.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	33	$260.00	$139.76
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	37	36	$65.00	$59.61
G0008 Administration of influenza virus vaccine	36	35	$30.00	$15.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	36	14	$22.00	$2.01
71046 X-ray of chest, 2 views	35	34	$45.00	$29.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$233.00	$161.22
90756 Vaccine for influenza for injection into muscle	29	29	$45.00	$27.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$65.00	$42.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$161.24	$109.03
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$65.00	$15.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$260.00	$157.51
87275 Detection test for influenza B virus	16	15	$25.00	$10.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$145.00	$102.43
87276 Detection test by immunofluorescent technique for influenza a virus	16	15	$25.00	$13.80
82947 Blood glucose (sugar) level	16	13	$27.00	$3.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	614	221	$95.00	$68.70
36415 Insertion of needle into vein for collection of blood sample	368	183	$6.50	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	340	195	$45.00	$8.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	146	$135.00	$100.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg	205	25	$1.00	$0.12
81000 Manual urinalysis test with examination using microscope, non-automated	183	132	$25.00	$3.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	152	33	$22.00	$1.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	130	58	$45.00	$15.48
93000 Routine ekg using at least 12 leads including interpretation and report	76	67	$58.42	$14.82
83036 Hemoglobin A1C level	76	49	$65.00	$10.43
71046 X-ray of chest, 2 views	63	49	$45.00	$29.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	62	23	$22.00	$1.81
93922 Ultrasound study of arm and leg arteries	45	42	$245.00	$62.59
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	45	42	$339.00	$80.63
93308 Ultrasound of heart, follow-up	44	41	$295.00	$48.82
82947 Blood glucose (sugar) level	41	32	$27.00	$4.07
87275 Detection test for influenza B virus	40	38	$25.00	$13.05
87276 Detection test by immunofluorescent technique for influenza a virus	40	38	$25.00	$15.75
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	39	36	$65.00	$15.78
92250 Photography of the retina	36	34	$161.00	$47.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$155.00	$109.21
G0008 Administration of influenza virus vaccine	27	27	$30.00	$15.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$65.00	$42.17
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$26.09	$18.65
94010 Test to measure expiratory airflow and volume	19	18	$100.00	$32.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$233.00	$162.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$145.00	$102.68
81003 Automated urinalysis test	12	12	$25.00	$2.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$260.00	$157.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	711	227	$95.00	$65.20
36415 Insertion of needle into vein for collection of blood sample	401	189	$6.50	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	276	163	$45.00	$9.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	130	$135.00	$96.10
81000 Manual urinalysis test with examination using microscope, non-automated	180	119	$25.00	$3.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	111	36	$45.00	$18.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	24	$22.00	$1.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg	92	15	$1.00	$0.12
83036 Hemoglobin A1C level	92	46	$65.00	$11.62
93000 Routine ekg using at least 12 leads including interpretation and report	83	70	$63.04	$14.36
71046 X-ray of chest, 2 views	79	62	$55.73	$26.36
82947 Blood glucose (sugar) level	43	23	$27.00	$4.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	42	13	$22.00	$1.95
87275 Detection test for influenza B virus	39	36	$25.00	$14.13
87276 Detection test by immunofluorescent technique for influenza a virus	39	36	$25.00	$15.35
93308 Ultrasound of heart, follow-up	38	37	$295.00	$51.75
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	38	37	$339.00	$76.09
93922 Ultrasound study of arm and leg arteries	38	37	$245.00	$60.21
92250 Photography of the retina	36	35	$161.00	$50.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	24	$65.00	$39.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$155.00	$103.48
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	31	30	$65.00	$16.20
G0008 Administration of influenza virus vaccine	24	22	$30.00	$18.90
94010 Test to measure expiratory airflow and volume	17	17	$100.00	$31.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$260.00	$149.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$145.00	$97.46
93882 Ultrasound of one side of head and neck blood flow	13	13	$364.00	$90.03
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$50.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	699	229	$95.00	$63.70
36415 Insertion of needle into vein for collection of blood sample	436	197	$6.50	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	348	194	$45.00	$10.40
81000 Manual urinalysis test with examination using microscope, non-automated	182	131	$25.00	$4.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	103	$135.00	$94.12
71020 X-ray of chest, 2 views, front and side	88	73	$98.00	$24.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	27	$45.00	$21.70
83036 Hemoglobin A1C level	62	42	$65.00	$11.47
93000 Routine ekg using at least 12 leads including interpretation and report	51	47	$72.00	$14.76
85610 Blood test, clotting time	50	15	$50.00	$5.28
82947 Blood glucose (sugar) level	47	30	$27.00	$5.27
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	17	$22.00	$3.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$155.00	$100.64
87275 Detection test for influenza B virus	35	33	$25.00	$16.11
87276 Detection test by immunofluorescent technique for influenza a virus	35	33	$25.00	$16.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$65.00	$37.28
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	28	$65.00	$16.11
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	26	23	$23.00	$9.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$145.00	$95.60
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	15	15	$35.00	$11.80
G0008 Administration of influenza virus vaccine	15	15	$30.00	$23.05

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License OK 3252

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100090910A (OK)

Medicaid State Provider ID

100090910B (OK)

Hospital & Practice Group Affiliations

Broken Arrow Family Clinic Inc

705 W Oakland St, Broken Arrow, OK 740121656

Phone: 9182512666

Practice Associates & Co-Workers

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

9 Associated Practitioners

Cathleen Griffin

Nurse Practitioner - Family

NPI 1013800390

Allison Griffiths , PA-C

Physician Assistant

NPI 1033862867

Physician Assistant (Certified)

Dr. Rachel Whitehouse , DO

Family Medicine - Adult Medicine

NPI 1306955141

Doctor of Osteopathic Medicine (D.O.)

Ted Barrett , APRN-CNP

Nurse Practitioner - Family

NPI 1407304827

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Carole Howard , DO

Family Medicine

NPI 1447234885

Doctor of Osteopathic Medicine (D.O.)

Jayme Montgomery , CNP

Nurse Practitioner - Family

NPI 1518525849

Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 03, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2011

Registered at 705 W OAKLAND ST, BROKEN ARROW, OK 740121656 (Tel: 9182512666)

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Updated Business Mailing Address October 03, 2011

Registered at 705 W OAKLAND ST, BROKEN ARROW, OK 740121656 (Tel: 9182512666)

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Provider Name / Credentials Updated October 03, 2011

Recorded as BRIAN CODER, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2011

Family Medicine (License #3252 in OK)

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Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427164888

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: October 03, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

705 W Oakland St

Broken Arrow, OK 740121656

Phone: 9182512666

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

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