DR. JEROME ANTHONY MCTAGUE (MD, JD) – Emergency Medicine Physician, NPI 1194758540

DR. JEROME ANTHONY MCTAGUE (MD, JD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD, JD. They hold a License No. 30495 (OK). The NPI Number for DR. JEROME ANTHONY MCTAGUE (MD, JD) is 1194758540

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEROME ANTHONY MCTAGUE (MD, JD)
NPI
1194758540
Phone
(419) 461-1057
Address
2200 N CLASSEN BLVD
Enumeration Date
9 July 2006
Last Update Date
20 November 2014

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5805314700
Graduation Year
1991 (35 years ago)
PAC ID
9234193236
Group Practice PAC ID
2769824937
Professional Enrollment ID
I20150303001199
Address ID
OK735059635LA5602XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

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Provider Addresses for DR. JEROME ANTHONY MCTAGUE (MD, JD)

  • The Classen High Rise Apartments, 2200, North Classen Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73106, United States

    SUITE 1403

    OKLAHOMA CITY, OK 731065800

    Phone: (419) 461-1057

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150303001199IEmergency MedicineOKTBD
I20150501000537IEmergency MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making945794$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only569487$0
99284Emergency department visit with moderate level of medical decision making218200$0
99283Emergency department visit with low level of medical decision making5351$0
View full utilization report →

Insurance plans in this area (ZIP 73106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769824937View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineOK
Emergency MedicineTX
Family Practice, Emergency MedicineIA
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineKY
Emergency MedicineVA
Emergency MedicineOK
Family PracticeOK

Reviews

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Frequently asked questions

How do payers reference DR. JEROME ANTHONY MCTAGUE (MD, JD)?
For DR. JEROME ANTHONY MCTAGUE (MD, JD), use NPI 1194758540 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JEROME ANTHONY MCTAGUE (MD, JD)?
You should see DR. JEROME ANTHONY MCTAGUE (MD, JD) as active in CMS-hosted NPPES data.
How would a patient describe DR. JEROME ANTHONY MCTAGUE (MD, JD)'s focus?
For DR. JEROME ANTHONY MCTAGUE (MD, JD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JEROME ANTHONY MCTAGUE (MD, JD)?
Travel planning: use Oklahoma City, Oklahoma as the reference point for DR. JEROME ANTHONY MCTAGUE (MD, JD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.