ALEKSANDR S CARSON – Physician Assistant, NPI 1083498174
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for ALEKSANDR S CARSON
5000 HOPYARD RD STE 410
PLEASANTON, CA 945883145
Phone: (865) 500-1267
Type: Mailing
1000 N LEE AVE
OKLAHOMA CITY, OK 731021036
Phone: (907) 957-1639
Type: Location
1102 W MacArthur St
Shawnee, OK 748041743
Phone: (405) 273-2270
Type: Location
2825 Parklawn Dr
Midwest City, OK 731104201
Phone: (405) 610-4411
Type: Location
201 S Sara Rd
Mustang, OK 730644306
Phone: (405) 376-4505
Type: Location
13401 N Western Ave
Oklahoma City, OK 731141408
Phone: (405) 252-3400
Type: Location
13500 S Tulsa Dr
Oklahoma City, OK 731709719
Phone: (405) 815-5600
Type: Location
3400 S Douglas Blvd
Oklahoma City, OK 731501001
Phone: (405) 815-5600
Type: Location
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: 2026-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260122002393 | I | Physician Assistant | OK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94588)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine, Family Practice | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| - | OK |
Reviews
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