Russell Wayne Jefferson, DO
NPI 1073041299ActiveIndividual· General Practice· Clinton, OK
General Practice (DO) in Clinton, Oklahoma, trained at Lincoln Mem Univ, Debusk Col of Osteopathic Med (class of 2017). In 2024 Medicare paid $71,383 for 224 patients, and Part D covered 307 of their prescriptions, 86% of them generic.
Overview
| NPI | 1073041299 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Jun 1, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Apr 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 6428 | OK |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 224 |
|---|---|
| Services billed | 930 across 22 procedure codes |
| Paid by Medicare | $71,383 |
Part D prescriptions in 2024
| Prescriptions (claims) | 307 · 336 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $19,931 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Lincoln Mem Univ, Debusk Col of Osteopathic Med |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | General Practice |
Medical group
- Farmers Union Hospital AssociationElk City, OK · 42 clinicians
Hospital affiliation
- Great Plains Regional Medical CenterElk City, OK
Other facilities
- Great Plains Regional Medical CenterInpatient rehabilitation facility · Elk City, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other General Practice providers in Clinton
- 1447191705