Active NPI 1548200751 Individual Practitioner Female Practitioner

Dr. Jacqueline Petray , MD

Internal Medicine • Tulsa, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Petray, MD is a certified Internal Medicine practicing in Tulsa, OK. With approximately 40 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 1986, Dr. Petray delivers high-quality medical care to the local community at 6565 S YALE AVE STE 312.

Dr. Petray is affiliated with Warren Clinic Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, 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

6565 S Yale Ave Ste 312

Tulsa, OK 741368304

Telephone 9185027050

Fax 9185027055

Associated Practice Facility / Clinic

🏢 Warren Clinic Inc Facility NPI 1285356998

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +20.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

326 Specialists

Practicing in Tulsa, OK (1179 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petray (40 Years) 40 Yrs

Tulsa Specialty Average (20.0 Years) 20.0 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	408	211	$213.85	$114.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$225.00	$114.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$317.00	$156.64
G0008 Administration of influenza virus vaccine	60	60	$41.00	$30.07
90653 Vaccine for influenza for injection into muscle	55	55	$90.00	$81.82
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$151.17	$83.12
99496 Transitional care management services for problem of high complexity	18	16	$568.00	$250.83

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	358	271	$220.22	$96.55
83036 Hemoglobin A1C level	76	65	$31.00	$9.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	74	$297.33	$116.46
85610 Blood test, clotting time	72	12	$16.00	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$149.93	$69.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$231.22	$45.05
99496 Transitional care management services for problem of high complexity	17	16	$484.00	$130.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$333.18	$141.77
G0008 Administration of influenza virus vaccine	14	14	$48.50	$26.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$414.58	$205.99
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$26.07

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	498	310	$222.00	$91.15
85610 Blood test, clotting time	154	13	$16.00	$4.24
83036 Hemoglobin A1C level	93	67	$31.00	$9.50
99213 Established patient office or other outpatient visit, typically 15 minutes	81	66	$151.00	$71.28
G0008 Administration of influenza virus vaccine	74	72	$58.54	$26.46
90662 Influenza vaccine split virus, preservative free	69	67	$152.13	$66.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	51	$298.00	$120.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$232.00	$50.04
81003 Automated urinalysis test	25	20	$7.00	$2.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$342.00	$158.27
G0009 Administration of pneumococcal vaccine	15	14	$30.00	$27.30
99495 Transitional care management services for problem of at least moderate complexity	15	14	$338.00	$107.65
99496 Transitional care management services for problem of high complexity	14	14	$478.00	$126.85

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	538	317	$222.00	$84.50
85610 Blood test, clotting time	142	14	$16.00	$4.29
83036 Hemoglobin A1C level	106	78	$31.00	$9.55
99213 Established patient office or other outpatient visit, typically 15 minutes	103	79	$151.00	$56.49
G0008 Administration of influenza virus vaccine	70	70	$30.00	$15.51
90662 Influenza vaccine split virus, preservative free	64	64	$114.30	$64.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	58	11	$42.00	$13.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$232.00	$120.94
99496 Transitional care management services for problem of high complexity	42	31	$478.00	$263.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	32	$298.00	$119.61
36415 Insertion of needle into vein for collection of blood sample	22	22	$7.00	$3.00
71046 X-ray of chest, 2 views	22	18	$40.00	$19.12
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$15.91
81003 Automated urinalysis test	12	12	$7.00	$2.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$163.00	$124.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$342.00	$145.19

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	468	310	$222.00	$74.40
85610 Blood test, clotting time	134	13	$16.00	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	109	94	$151.00	$49.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	100	13	$42.00	$13.81
G0008 Administration of influenza virus vaccine	92	89	$30.00	$15.57
83036 Hemoglobin A1C level	73	58	$31.00	$9.64
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	59	56	$25.00	$19.41
36415 Insertion of needle into vein for collection of blood sample	35	34	$7.00	$2.96
90662 Influenza vaccine split virus, preservative free	33	33	$70.00	$59.13
99496 Transitional care management services for problem of high complexity	29	27	$478.00	$231.04
G0009 Administration of pneumococcal vaccine	27	27	$30.00	$15.70
99495 Transitional care management services for problem of at least moderate complexity	26	26	$338.00	$174.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$163.00	$117.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$232.00	$102.55
81002 Urinalysis, manual test	14	13	$10.00	$3.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$223.00	$88.13
71046 X-ray of chest, 2 views	12	11	$40.00	$17.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$342.00	$150.41

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	619	338	$222.00	$73.70
85610 Blood test, clotting time	157	17	$16.00	$4.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	109	14	$42.00	$13.94
83036 Hemoglobin A1C level	106	80	$31.00	$10.37
G0008 Administration of influenza virus vaccine	87	84	$30.00	$15.46
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	79	79	$25.00	$18.41
36415 Insertion of needle into vein for collection of blood sample	54	50	$7.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$151.00	$49.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$342.00	$154.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	42	$298.00	$102.16
99496 Transitional care management services for problem of high complexity	38	34	$478.00	$218.25
G0009 Administration of pneumococcal vaccine	33	33	$30.00	$14.99
81002 Urinalysis, manual test	23	21	$10.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	18	18	$329.00	$208.80
71046 X-ray of chest, 2 views	17	16	$40.00	$17.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$232.00	$102.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$163.00	$102.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$425.00	$197.60
99495 Transitional care management services for problem of at least moderate complexity	13	13	$338.00	$154.72

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	594	319	$222.00	$71.55
85610 Blood test, clotting time	180	17	$16.00	$4.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	159	16	$42.00	$13.10
99213 Established patient office or other outpatient visit, typically 15 minutes	109	83	$151.00	$48.95
G0008 Administration of influenza virus vaccine	99	97	$30.00	$18.90
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	99	97	$30.82	$23.57
83036 Hemoglobin A1C level	67	58	$31.00	$11.75
36415 Insertion of needle into vein for collection of blood sample	61	59	$7.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	52	$298.00	$102.54
G0009 Administration of pneumococcal vaccine	37	36	$30.00	$18.90
71046 X-ray of chest, 2 views	30	25	$40.00	$16.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$342.00	$157.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	13	$38.00	$13.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$352.00	$162.79
99496 Transitional care management services for problem of high complexity	25	23	$478.00	$219.59
90670 Pneumococcal vaccine for injection into muscle	24	24	$329.00	$195.41
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$57.00	$15.85
81002 Urinalysis, manual test	21	17	$10.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	16	16	$338.00	$155.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$232.00	$101.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$163.00	$105.59

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	517	268	$222.00	$72.45
99213 Established patient office or other outpatient visit, typically 15 minutes	204	133	$151.00	$52.40
85610 Blood test, clotting time	183	13	$16.00	$5.28
36415 Insertion of needle into vein for collection of blood sample	133	112	$7.00	$2.90
G0008 Administration of influenza virus vaccine	80	77	$30.00	$23.05
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	46	46	$29.00	$23.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	40	$298.00	$92.36
99495 Transitional care management services for problem of at least moderate complexity	40	37	$338.00	$152.48
71020 X-ray of chest, 2 views, front and side	33	32	$40.00	$14.99
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$25.00	$18.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	11	$42.00	$9.56
G0009 Administration of pneumococcal vaccine	29	29	$30.00	$23.05
83036 Hemoglobin A1C level	26	25	$31.00	$11.61
81002 Urinalysis, manual test	25	21	$10.00	$3.02
90670 Pneumococcal vaccine for injection into muscle	22	22	$329.00	$187.76
87804 Detection test by immunoassay with direct visual observation for influenza virus	19	12	$38.00	$15.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$342.00	$154.90
99496 Transitional care management services for problem of high complexity	13	12	$478.00	$215.91

Medical Specialties & State Licenses

CMS Verified: 2023-11-13

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 16104

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1000074870A (OK)

Hospital & Practice Group Affiliations

Warren Clinic Inc

6600 S Yale Ave, Tulsa, OK 741363331

Phone: 9184886000

Secondary Practice Locations

13600 E 86th St N, 100

Owasso, OK 740558731

Phone: 9182729313

Practice Associates & Co-Workers

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

5 Associated Practitioners

Elizabeth Urrea , APRN-CNP

Nurse Practitioner - Gerontology

NPI 1033802236

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Vincent Bryan , DO

Internal Medicine

NPI 1134129356

Doctor of Osteopathic Medicine (D.O.)

Dr. Tito Razdan , MD

Internal Medicine

NPI 1194724948

Doctor of Medicine (M.D.)

Dr. Frances Haas , DO

Internal Medicine

NPI 1407826860

Doctor of Osteopathic Medicine (D.O.)

Dr. Mira Georgy , MD

Internal Medicine

NPI 1649537176

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 13, 2023

Registered at 6565 S YALE AVE STE 312, TULSA, OK 741368304 (Tel: 9185027050)

📍

Updated Business Mailing Address November 13, 2023

Registered at 6600 S YALE AVE STE 1400, TULSA, OK 741363331 (Tel: 8882470125)

✅

NPI Profile Active February 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2011

Registered at 13600 E 86TH ST N, 100, OWASSO, OK 740558731 (Tel: 9182729313)

📍

Updated Business Mailing Address February 09, 2011

Registered at 1515 N HARVARD AVE, SUITE E, TULSA, OK 741154957 (Tel: 9188326049)

👤

Provider Name / Credentials Updated February 09, 2011

Recorded as JACQUELINE PETRAY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2011

Internal Medicine (License #16104 in OK)

🟢

Initial NPI Registration & Enumeration June 07, 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: 1548200751

Entity Type:

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

Enumeration Date: June 07, 2006

Last Update: November 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6600 S Yale Ave Ste 1400

Tulsa, OK 741363331

Phone: 8882470125

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.