IndividualActiveAccepts Medicare

Bradley Taylor, PA-C

NPI 1114528247 · Physician Assistant · Ardmore, OK

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1114528247
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 4463 (OK)
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Basic profile(45/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
5 yrs in NPPES registry
Profile completeness28% of score
83% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
150 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309	48	$85
Nursing Facility Discharge Management, More Than 30 Minutes99316	44	$104
Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306	34	$144
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	24	$63

Typical Medicare-allowed amounts for these services range $63–$144 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

808 Carter St Se

Ardmore, OK 73401-8524

Phone: (580) 504-9468

Street-level locationGet directions

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Mailing address