Doctor profile · Federal record
Dr. DONAVON BALDRIDGE, APRN
Family Nurse Practitioner (CMS: NURSE PRACTITIONER) · Nurse Practitioner · TAHLEQUAH, OK
- NPI 1134800964
- Accepts Medicare
- 3 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
19600 E ROSS ST
TAHLEQUAH, OK 744640545
(539) 234-1000 - Additional location
-
205 Harris Cir Ste 202
Tahlequah, OK 744648849
(918) 207-1410
fax (918) 515-6912 - Mailing address
-
204 TOMMYE LN
TAHLEQUAH, OK 744644174
Credentials & registration
- NPI registered
- July 2023 — 3 yrs on file
- Profile last updated
- October 17, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Oklahoma #201015
- Medicaid
- OK #201188720A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134800964. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
51
Distinct HCPCS
1
Medicare allowed
$2,700
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 51 | 51 | $53 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 57. This provider delivers 0.9× the peer median.Open Payments
Industry payments received
All-time total
$41
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $20.92 | |
| Boston Scientific Corporation | 1 | $19.62 |