Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kevin W Maddox, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1598082398

Kevin W Maddox, DO practises Pathology in Ada, Oklahoma. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2009, 17 years ago. Practices with Mountain States Pathology PC, a 16-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
17
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
OK
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1921 Stonecipher Blvd
Ada, OK 74820 Not confirmed with CMS for 10 years — call before visiting
Phone: (580) 421-4570
Fax: (614) 442-2430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 5590 (OK)

Record details

NPI number1598082398
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESSeptember 14, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2009 (17 years in practice)
Group practice Mountain States Pathology Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients316
Services billed 740 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Mercy Regional Medical Center Hospital · Durango, CO
  • Centura Health-Penrose St Francis Health Services Hospital · Colorado Springs, CO
  • Holy Cross Hospital - Salt Lake Hospital · Salt Lake City, UT
  • Holy Cross Hospital-Davis Hospital · Layton, UT
  • Holy Cross Hospital-Jordan Valley Hospital · West Jordan, UT

Colleagues at Mountain States Pathology PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 16 clinicians in the practice; 12 are shown here.

Other providers in Ada