Justin Plaxico, D.O.
NPI 1518996958 · Surgery Physician · Ada, OK
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Plaxico, D.O. is a Surgery Physician provider in Ada, OK (NPI 1518996958).
Provider details
- NPI number
- 1518996958
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 3875 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
494 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 66 | $76 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 60 | $67 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 53 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 49 | $83 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 45 | $103 |
| Biopsy of Large Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 105 | 41 |
| Ondansetron Hcl | 99 | 87 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 51 | 49 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 47 | 45 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 44 | 43 |
| Ondansetronbrand: Ondansetron Odt | 25 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Frequently asked questions
- What is Justin Plaxico's NPI number?
- Justin Plaxico's National Provider Identifier (NPI) is 1518996958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Plaxico's specialty?
- Justin Plaxico is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Plaxico located?
- Justin Plaxico's practice location on file with NPPES is 435 N Monte Vista St, Ada, OK 74820-4676.
- What is Justin Plaxico's phone number?
- The practice phone number listed in the NPPES registry for Justin Plaxico is (580) 310-0102.
- Does Justin Plaxico accept Medicare?
- Justin Plaxico is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Plaxico's NPI active?
- Yes — Justin Plaxico's NPI (1518996958) is active in the NPPES registry as of the last update on 2022-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.