Benjamin Upton, MD - Medicare Pediatrics in Oklahoma City, OK

Benjamin Upton, MD is a medicare enrolled "Pediatrics" physician in Oklahoma City, Oklahoma. His current practice location is 1200 Childrens Ave, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-4700.

Benjamin Upton is licensed to practice in Oklahoma (license number 34983) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487116976.

Contact Information

Benjamin Upton, MD
1200 Childrens Ave,
Oklahoma City, OK 73104-4637
(405) 271-4700
Not Available

Map and Direction




Physician's Profile

Full NameBenjamin Upton
GenderMale
SpecialityPediatrics
Location1200 Childrens Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487116976
  • Provider Enumeration Date: 04/03/2019
  • Last Update Date: 10/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062742125
  • Enrollment ID: I20231117001283

Medical Identifiers

Medical identifiers for Benjamin Upton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487116976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 34983 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin Upton allows following entities to bill medicare on his behalf.
Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Upton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benjamin Upton, MD
1200 Childrens Ave,
Oklahoma City, OK 73104-4637

Ph: () -
Benjamin Upton, MD
1200 Childrens Ave,
Oklahoma City, OK 73104-4637

Ph: (405) 271-4700

Reviews and Comments


Pediatrics Doctors in Oklahoma City, OK

Elizabeth Clare Kutteh, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104
Phone: 405-271-4417    
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104
Phone: 425-655-8633    
Mary Anne Mccaffree, MS
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104
Phone: 405-271-5215    Fax: 405-271-1236
Sandra Jean Gilliland, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109
Phone: 405-632-6688    Fax: 405-604-0708
John August Ruth Iii, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104
Phone: 405-271-4417    
Samuel Levin, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104
Phone: 405-271-5215    
Julie W Lees, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 N Phillips Ave, Suite 6100, Oklahoma City, OK 73104
Phone: 405-271-6827    Fax: 405-271-4418

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.