Vantage Open Mri LLC
NPI 1942239702 · Magnetic Resonance Imaging (MRI) Clinic/Center · Oklahoma City, OK
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vantage Open Mri LLC is a Magnetic Resonance Imaging (MRI) Clinic/Center organization in Oklahoma City, OK (NPI 1942239702).
Provider details
- NPI number
- 1942239702
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randy Wickersham, Vp of Operations(405) 418-0900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,301 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) |
|---|---|---|
| Piflufolastat F-18, Diagnostic, 1 MillicurieA9595 | 207 | $571 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 200 | $107 |
| Nuclear Medicine Study From Skull Base to Mid-Thigh With Ct Scan78815 | 188 | $1,430 |
| Fluorodeoxyglucose F-18 Fdg, Diagnostic, Per Study Dose, Up to 45 MillicuriesA9552 | 181 | $143 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 79 | $97 |
| Mri Scan of Brain Without Contrast70551 | 73 | $115 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2012-04-20
Frequently asked questions
- What is Vantage Open Mri LLC's NPI number?
- Vantage Open Mri LLC's National Provider Identifier (NPI) is 1942239702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vantage Open Mri LLC?
- Vantage Open Mri LLC is classified in the NPPES registry as Magnetic Resonance Imaging (MRI) Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vantage Open Mri LLC located?
- Vantage Open Mri LLC's practice location on file with NPPES is 3400 W Hefner Rd, Oklahoma City, OK 73120-5083.
- What is Vantage Open Mri LLC's phone number?
- The practice phone number listed in the NPPES registry for Vantage Open Mri LLC is (405) 418-0900.
- Does Vantage Open Mri LLC accept Medicare?
- Vantage Open Mri LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vantage Open Mri LLC?
- The authorized official listed on Vantage Open Mri LLC's NPPES record is Randy Wickersham, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vantage Open Mri LLC's NPI active?
- Yes — Vantage Open Mri LLC's NPI (1942239702) is active in the NPPES registry as of the last update on 2012-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.