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Active NPI 1528036704 Individual Practitioner Male Practitioner

Jack Bradley Smith , PA

Physician Assistant • Oklahoma City, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jack Smith, PA is a certified Physician Assistant practicing in Oklahoma City, OK. With approximately 25 years of clinical experience since completing medical education in 2001, Jack Smith delivers high-quality medical care to the local community at 4401 W MEMORIAL RD.

Jack Smith is affiliated with Ou Health Partners Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4401 W Memorial Rd

Oklahoma City, OK 731341785

Telephone 4057514664
Fax 4057494561
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oklahoma City, OK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +14.2 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
685 Specialists

Practicing in Oklahoma City, OK (1911 Statewide)

Telehealth Adoption Rate
10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (25 Years) 25 Yrs
Oklahoma City Specialty Average (10.8 Years) 10.8 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
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
64 16 $145.45 $60.94
99284 Emergency department visit with moderate level of medical decision making
40 38 $455.45 $94.61
99285 Emergency department visit for life threatening or functioning severity
36 36 $731.58 $139.89
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes
20 20 $149.77 $62.63

Medical Specialties & State Licenses

CMS Verified: 2025-12-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1155

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Ou Health Partners Inc

900 Ne 10th St, Oklahoma City, OK 731045420

Phone: 4052714311

Ou Health Partners Inc

3025 Sw 104th St, Oklahoma City, OK 731597036

Phone: 4053007740

Secondary Practice Locations

1000 N Lee Ave

Oklahoma City, OK 731021036

Phone: 4052727000

5200 E I 240 Service Rd

Oklahoma City, OK 731352607

Phone: 4056286000

4050 W Memorial Rd

Oklahoma City, OK 731208382

Phone: 4056083800

201 S Sara Rd

Mustang, OK 730644306

Phone: 4053764505

2115 Parkview Drive

El Reno, OK 730360000

Phone: 4052622640

13500 S Tulsa Dr

Oklahoma City, OK 731709719

Phone: 4058155600

700 Ne 13th St

Oklahoma City, OK 731045004

Phone: 4052715321

13401 N Western Ave

Oklahoma City, OK 731141408

Phone: 4052523400

3400 S Douglas Blvd

Oklahoma City, OK 731501001

Phone: 4058155600

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ernest Estrada , PA

Physician Assistant

NPI 1003856386

Physician Assistant

Dr. James Greene , MD

Emergency Medicine

NPI 1003878422

Doctor of Medicine (M.D.)

Dr. Stanley Reyenga , MD

Emergency Medicine

NPI 1043271679

Doctor of Medicine (M.D.)

Kyle Johnson , PA

Physician Assistant - Medical

NPI 1043278005

Physician Assistant

Dr. William Lei , MD

Emergency Medicine - Emergency Medical Services

NPI 1063472603

Doctor of Medicine (M.D.)

Dr. Joanna Chen , MD

Emergency Medicine - Emergency Medical Services

NPI 1073576807

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address December 01, 2025

Registered at 18432 WILD HORSE TRL, NORMAN, OK 730729603 (Tel: 4057600560)

NPI Profile Active August 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2010

Registered at 4401 W MEMORIAL RD, OKLAHOMA CITY, OK 731341785 (Tel: 4057514664)

📍
Updated Business Mailing Address August 24, 2010

Registered at 4401 W MEMORIAL RD, OKLAHOMA CITY, OK 731341785 (Tel: 4057514664)

👤
Provider Name / Credentials Updated August 24, 2010

Recorded as JACK SMITH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2010

Physician Assistant (License #1155 in OK)

🟢
Initial NPI Registration & Enumeration March 14, 2006

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: 1528036704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: December 01, 2025
Sole Proprietor: No

Mailing Address

18432 Wild Horse Trl

Norman, OK 730729603

Phone: 4057600560

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.