Active NPI 1508095977 Individual Practitioner Male Practitioner

Dr. Kyle C Wooderson , DO

Surgery • Grove, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Wooderson, DO is a certified Surgery practicing in Grove, OK. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Wooderson delivers high-quality medical care to the local community at 601 E 13TH ST.

Dr. Wooderson is affiliated with Integris Ambulatory Care Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 E 13th St
Ste H

Grove, OK 743442989

Telephone 9187867300

Fax 9187867303

Associated Practice Facility / Clinic

🏢 Northeast Oklahoma Family Practice & Obstetrics Facility NPI 1093877250

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grove, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +3.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Grove, OK (386 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wooderson (18 Years) 18 Yrs

Grove Specialty Average (15.0 Years) 15.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	72	$244.00	$118.55
99213 Established patient office or other outpatient visit, typically 15 minutes	65	55	$173.00	$83.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	62	61	$292.74	$95.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$319.00	$152.60
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$534.74	$217.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	11	$140.00	$73.12
45380 Biopsy of large bowel using an endoscope	19	19	$411.37	$120.95
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$399.50	$160.93
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$406.63	$156.34
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$403.14	$154.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$320.46	$161.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$230.00	$121.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	78	$245.08	$121.05
99213 Established patient office or other outpatient visit, typically 15 minutes	79	67	$173.00	$85.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	71	69	$279.23	$99.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$319.00	$158.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	44	44	$514.59	$224.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$379.80	$167.16
45380 Biopsy of large bowel using an endoscope	29	29	$406.14	$165.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$213.32	$105.84
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$371.05	$174.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$145.67	$76.21
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$371.54	$154.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$374.33	$174.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$270.09	$125.26
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$250.00	$99.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	95	$165.17	$86.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	102	$235.29	$121.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	71	70	$286.00	$85.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$315.17	$158.03
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	54	54	$519.00	$233.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$208.64	$106.59
45380 Biopsy of large bowel using an endoscope	31	31	$410.00	$152.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$134.71	$65.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$378.00	$177.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$252.53	$129.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$378.00	$177.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	154	$159.00	$86.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	110	$227.00	$121.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	98	96	$286.00	$98.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$312.00	$161.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$203.00	$107.46
45380 Biopsy of large bowel using an endoscope	50	50	$410.00	$142.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	48	47	$521.70	$244.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$225.00	$131.64
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$378.00	$169.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	12	$120.00	$69.65
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$378.00	$181.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$325.00	$194.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	240	178	$137.00	$71.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	84	$202.00	$103.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$203.00	$103.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	65	$286.00	$110.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$312.00	$159.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	13	$37.00	$21.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	40	$519.00	$256.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$225.00	$132.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	18	$120.00	$67.19
45380 Biopsy of large bowel using an endoscope	26	25	$410.00	$131.60
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$170.00	$100.23
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$378.00	$178.51
49650 Repair of groin hernia using an endoscope	12	12	$880.81	$415.66
11104 Punch biopsy, first skin growth	12	12	$234.00	$108.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	203	$137.00	$70.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$203.00	$103.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	79	$202.00	$102.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	82	81	$286.00	$100.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$312.00	$156.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	56	54	$525.95	$246.37
45380 Biopsy of large bowel using an endoscope	53	52	$411.93	$150.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	27	$120.00	$70.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$225.00	$131.95
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$170.00	$99.68
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$378.00	$182.78
49650 Repair of groin hernia using an endoscope	16	16	$880.81	$426.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$378.00	$180.23
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$378.00	$179.48
47562 Removal of gallbladder using an endoscope	11	11	$1281.00	$658.24
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$254.00	$104.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	216	$137.00	$67.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	167	167	$203.00	$100.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	75	75	$286.00	$110.87
11042 Removal of skin and tissue, 20.0 sq cm or less	60	18	$120.00	$57.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$312.00	$151.07
45380 Biopsy of large bowel using an endoscope	49	49	$410.00	$174.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$202.00	$101.99
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	48	47	$519.00	$245.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	14	$37.00	$19.98
45378 Diagnostic exam of large bowel using a flexible endoscope	36	36	$378.00	$181.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$137.10	$70.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$253.80	$128.15
11042 Removal of skin and tissue, 20.0 sq cm or less	21	13	$213.67	$93.72
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$243.53	$96.78
76937 Ultrasonic guidance for blood vessel access	17	17	$27.53	$14.14
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$378.00	$184.25
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$254.00	$94.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$378.00	$184.58
47562 Removal of gallbladder using an endoscope	12	12	$1307.69	$652.48
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$196.00	$98.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	202	$137.00	$67.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$203.00	$100.89
11042 Removal of skin and tissue, 20.0 sq cm or less	159	30	$120.00	$59.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	83	80	$286.00	$107.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$312.00	$150.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	61	$202.00	$100.75
45380 Biopsy of large bowel using an endoscope	45	45	$410.00	$181.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$378.00	$177.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	14	$37.00	$18.53
45378 Diagnostic exam of large bowel using a flexible endoscope	30	29	$378.00	$175.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$519.00	$244.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	25	$201.00	$100.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$378.00	$181.95
47562 Removal of gallbladder using an endoscope	18	18	$1281.00	$552.16
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$240.00	$119.12
76937 Ultrasonic guidance for blood vessel access	16	16	$28.00	$14.03
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$99.00	$48.82
46600 Diagnostic examination of the anus using an endoscope	14	14	$162.00	$78.07
49650 Repair of groin hernia using an endoscope	12	12	$898.08	$430.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$273.00	$135.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$139.00	$69.39
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1393.00	$661.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 4824

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200254780A (OK)

Medicaid State Provider ID

200505990O (OK)

Hospital & Practice Group Affiliations

Integris Ambulatory Care Corporation

3400 Nw Expressway, Oklahoma City, OK 731124492

Phone: 4059454589

Integris Ambulatory Care Corporation

200 2nd Ave Sw, Miami, OK 743546830

Integris Ambulatory Care Corporation

600 S Monroe St, Enid, OK 737017211

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Haley Adams , DO

Surgery

NPI 1154747053

Doctor of Osteopathic Medicine (D.O.)

Amber Duncan , PA

Physician Assistant

NPI 1801505334

Physician Assistant

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2017

Registered at 601 E 13TH ST, STE H, GROVE, OK 743442989 (Tel: 9187867300)

📍

Updated Business Mailing Address April 05, 2017

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9187867300)

👤

Provider Name / Credentials Updated April 05, 2017

Recorded as KYLE WOODERSON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Surgery (License #4824 in OK)

✅

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2016

Registered at 601 E 13TH ST, STE H, GROVE, OK 743442989 (Tel: 9187867300)

📍

Updated Business Mailing Address February 03, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9187867300)

👤

Provider Name / Credentials Updated February 03, 2016

Recorded as KYLE WOODERSON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Surgery (License #4824 in OK)

🟢

Initial NPI Registration & Enumeration July 07, 2009

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: 1508095977

Entity Type:

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

Enumeration Date: July 07, 2009

Last Update: April 05, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5300 N Independence Ave, 280

Oklahoma City, OK 731125556

Phone: 9187867300

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.