Thomas Maibenco, MD
NPI 1639211386 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Tahlequah, OK
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Maibenco, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider in Tahlequah, OK (NPI 1639211386).
Provider details
- NPI number
- 1639211386
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 336078668 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 916 Talon DriveSuite 102Ofallon, IL 62269-1848Phone: (618) 628-8211Fax: (618) 628-0883
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Thomas Maibenco's NPI number?
- Thomas Maibenco's National Provider Identifier (NPI) is 1639211386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Maibenco's specialty?
- Thomas Maibenco is listed in the NPPES registry with a primary specialty of Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Maibenco located?
- Thomas Maibenco's practice location on file with NPPES is 1500 E Downing St Ste 101, Tahlequah, OK 74464-3354.
- What is Thomas Maibenco's phone number?
- The practice phone number listed in the NPPES registry for Thomas Maibenco is (918) 453-1234.
- Does Thomas Maibenco accept Medicare?
- Thomas Maibenco is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Maibenco's NPI active?
- Yes — Thomas Maibenco's NPI (1639211386) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.