Active NPI 1922085216 Individual Practitioner Male Practitioner

Dr. Samuel Jay Pangburn , DO

Surgery • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Pangburn, DO is a certified Surgery practicing in Tulsa, OK. With approximately 29 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 1997, Dr. Pangburn delivers high-quality medical care to the local community at 10505 E 91ST ST STE 203.

Dr. Pangburn is affiliated with Warren Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, repair of groin hernia using an endoscope, removal of gallbladder with x-ray study of bile ducts using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10505 E 91st St Ste 203

Tulsa, OK 74133

Telephone 9183073120

Fax 9183073121

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +6.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

77 Specialists

Practicing in Tulsa, OK (386 Statewide)

Telehealth Adoption Rate

2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pangburn (29 Years) 29 Yrs

Tulsa Specialty Average (22.3 Years) 22.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$317.00	$155.27
49650 Repair of groin hernia using an endoscope	27	26	$1544.44	$430.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$400.00	$204.76
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$1909.85	$670.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$208.00	$99.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$214.00	$119.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$306.00	$122.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$317.00	$156.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$208.00	$105.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$86.00	$53.09
49650 Repair of groin hernia using an endoscope	23	23	$1241.74	$421.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	12	$87.00	$47.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$1810.05	$664.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$400.00	$208.80
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$142.00	$85.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$306.00	$125.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$209.00	$121.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$317.00	$155.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$208.00	$106.67
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	27	27	$1827.26	$680.59
49650 Repair of groin hernia using an endoscope	26	26	$1268.08	$419.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$87.00	$37.28
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$226.00	$96.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$209.00	$114.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$400.00	$211.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$317.00	$156.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$208.00	$107.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$87.00	$35.58
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1780.55	$702.17
49650 Repair of groin hernia using an endoscope	18	18	$1493.33	$467.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$209.00	$124.04
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$226.00	$97.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$317.00	$156.94
47562 Removal of gallbladder using an endoscope	19	19	$1720.19	$659.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$208.00	$99.11
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$142.00	$71.99
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$226.00	$100.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$209.00	$104.48
49650 Repair of groin hernia using an endoscope	11	11	$1260.00	$431.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$316.33	$153.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$207.25	$96.49
47562 Removal of gallbladder using an endoscope	24	24	$1501.63	$659.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$207.94	$102.73
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$220.00	$98.21
49650 Repair of groin hernia using an endoscope	14	14	$1459.23	$526.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$295.93	$132.53
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	$399.50	$196.76
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$140.75	$69.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$224.27	$100.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$204.00	$102.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	13	$85.00	$38.15
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$141.00	$68.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$295.00	$132.77
47562 Removal of gallbladder using an endoscope	18	18	$1530.11	$659.42
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$137.00	$69.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$313.00	$156.76
49505 Repair of groin hernia (5 years or older)	13	13	$1473.68	$578.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$197.88	$100.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	17	$109.66	$66.96
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$105.15	$66.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$261.50	$146.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$299.77	$187.66
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$133.64	$69.40

Medical Specialties & State Licenses

CMS Verified: 2023-03-28

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 3593

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

100096880A (OK)

Medicaid State Provider ID

171802501 (TX)

Hospital & Practice Group Affiliations

Warren Clinic Inc

6600 S Yale Ave, Tulsa, OK 741363331

Phone: 9184886000

Warren Clinic Inc

6161 S Yale Ave, Tulsa, OK 741361902

Phone: 9185024720

Secondary Practice Locations

8042 Wurzbach Rd, Ste 310

San Antonio, TX 782293818

Phone: 2106145113

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Cassandra Riddle , DO

Surgery

NPI 1679074132

Doctor of Osteopathic Medicine (D.O.)

Dr. Steven Feher , MD

Surgery

NPI 1851431316

Doctor of Medicine (M.D.)

Georgina Mishkin , PA-C

Physician Assistant

NPI 1891313169

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address March 28, 2023

Registered at 6600 S YALE AVE STE 14000, TULSA, OK 741363347 (Tel: 8882470125)

📍

Updated Practice Location March 15, 2019

Registered at 10505 E 91ST ST STE 203, TULSA, OK 74133 (Tel: 9183073120)

📍

Updated Business Mailing Address March 15, 2019

Registered at 6600 S YALE AVE STE 1200, TULSA, OK 741363361 (Tel: 9184886045)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2019

Surgery (License #3593 in OK)

✅

NPI Profile Active March 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2012

Registered at 8042 WURZBACH RD, STE 310, SAN ANTONIO, TX 782293818 (Tel: 2106145113)

📍

Updated Business Mailing Address March 21, 2012

Registered at 8042 WURZBACH RD, STE 310, SAN ANTONIO, TX 782293818 (Tel: 2106145113)

👤

Provider Name / Credentials Updated March 21, 2012

Recorded as SAMUEL PANGBURN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2012

Surgery (License #M0211 in TX)

🟢

Initial NPI Registration & Enumeration December 28, 2005

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: 1922085216

Entity Type:

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

Enumeration Date: December 28, 2005

Last Update: March 28, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6600 S Yale Ave Ste 14000

Tulsa, OK 741363347

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

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