2026 NPPES data Gastroenterology Physician NPI 1235182650 MD
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STEPHEN MEDINA, MD

Gastroenterology Physician in CLAREMORE, Oklahoma. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
18
Medicare Part D claims · Gastroenterology Physician avg: 833
What the federal data reveals: STEPHEN MEDINA, MD is a Gastroenterology Physician ([object Object]) practicing in CLAREMORE, Oklahoma with a Medicare Part D prescribing footprint of 18 claims .

What stands out: STEPHEN MEDINA, MD filed 18 Medicare Part D claims in 2023 across CLAREMORE, Oklahoma. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

STEPHEN MEDINA, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

STEPHEN MEDINA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/18/2006

NPI 1235182650

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

18 98% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Oklahoma

How Gastroenterology Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Gastroenterology Physician share within Oklahoma

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Oklahoma

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

STEPHEN MEDINA, MD is a Gastroenterology Physician provider practicing in CLAREMORE, Oklahoma, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1235182650. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

STEPHEN MEDINA, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1501 N FLORENCE AVE STE 250, CLAREMORE, OK, 74017, with a listed phone of (918) 343-8513. NPI 1235182650 was issued on 05/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MEDINA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $265 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1501 N FLORENCE AVE STE 250
CLAREMORE, OK 74017

Provider Details

NPI 1235182650
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 05/18/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$265
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
40
Total Day Supply
1,200
Brand Drug Cost
$0
Generic Drug Cost
$265

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
0.26

Gastroenterology Physician Overview

How STEPHEN MEDINA, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

STEPHEN MEDINA, MD's 18 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Oklahoma

Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as MEDINA.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEPHEN MEDINA, MD's specialty?
STEPHEN MEDINA, MD specializes in Gastroenterology Physician and practices in CLAREMORE, Oklahoma. Credentials: MD.
How much does STEPHEN MEDINA, MD prescribe under Medicare Part D?
In 2023, STEPHEN MEDINA, MD wrote 18 Medicare Part D claims totaling $265 in drug costs for N/A beneficiaries.
Where is STEPHEN MEDINA, MD located?
STEPHEN MEDINA, MD is located at 1501 N FLORENCE AVE STE 250, CLAREMORE, OK, 74017. Phone: (918) 343-8513.
What is STEPHEN MEDINA, MD's NPI number?
STEPHEN MEDINA, MD's National Provider Identifier (NPI) is 1235182650, issued on 05/18/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does STEPHEN MEDINA, MD accept Medicare?
STEPHEN MEDINA, MD appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN MEDINA, MD's credentials?
STEPHEN MEDINA, MD's NPI is 1235182650 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology