NPI Details
Patrick Russell Gannon, MD is an orthopaedic surgery in Mcalester, OK with 33 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Patrick Russell Gannon, MD NPI is 1790747426. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993
The provider's business location address is:
1 E CLARK BASS BLVD
SUITE 210
MCALESTER, OK
ZIP 74501-209
Phone: (918) 421-6987
Fax: (918) 421-6698
The NPI 1790747426 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray of knee, 3 views (HCPCS:73562)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- X-ray of hip, 2-3 views (HCPCS:73502)
- X-ray of upper spine, 2-3 views (HCPCS:72040)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- X-ray of wrist, minimum of 3 views (HCPCS:73110)
- X-ray of hand, minimum of 3 views (HCPCS:73130)
- X-ray of ankle, minimum of 3 views (HCPCS:73610)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
- Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of finger, minimum of 2 views (HCPCS:73140)
- Injection into tendon or ligament (HCPCS:20550)
- Aspiration and/or injection of fluid from small joint (HCPCS:20600)
- Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
- X-ray of elbow, minimum of 3 views (HCPCS:73080)
- X-ray of both hips, 2 views (HCPCS:73521)
- X-ray of thigh bone, minimum 2 views (HCPCS:73552)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
- Replacement of knee joint on side of knee (HCPCS:27446)
- Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation (HCPCS:25600)
- Closed treatment of broken top of upper arm bone (HCPCS:23600)
- Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)
- Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
- Release and/or relocation of hand nerve (HCPCS:64721)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 4/6/2006 and was last updated on 1/29/2018.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | 20652 | OKLAHOMA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1324230001 | OTHER | OKLAHOMA | PALMETTO DME |
| 2 | G67583 | OTHER | OKLAHOMA | STERLING OPTION 1 |
| 3 | 731310891006 | OTHER | OKLAHOMA | UNICARE |
| 4 | 74502A024 | OTHER | OKLAHOMA | CHAMPUS |
| 5 | 0166707 | OTHER | OKLAHOMA | UMWA |
| 6 | 1000176970A | MEDICAID | OKLAHOMA | |
| 7 | 731310891028 | OTHER | OKLAHOMA | TRICARE SOUTH |
