MYRA C LONG (MD) – Family Medicine Physician, NPI 1023128535

MYRA C LONG (MD) is a healthcare provider. based in Salina, Kansas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0428977 (KS). The NPI Number for MYRA C LONG (MD) is 1023128535

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MYRA C LONG (MD)
NPI
1023128535
Phone
(785) 825-7251
Address
651 E PRESCOTT
Enumeration Date
30 August 2006
Last Update Date
15 August 2011

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7858257251
Graduation Year
1999 (27 years ago)
PAC ID
3577510007
Group Practice PAC ID
0749199883
Professional Enrollment ID
I20050406000549
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MYRA C LONG (MD)

  • 651, Prescott Road, Salina, Saline County, Kansas, 67401, United States

    SALINA, KS 674017408

    Phone: (785) 825-7251

    Fax: (785) 825-6887

    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: 2005-04-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050406000549IFamily PracticeKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67401)

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Provider's Procedures

MYRA C LONG (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKS85610Blood test, clotting time4822

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: 0749199883View full group profile
NameSpecialtyState
Family PracticeKS
Physician AssistantKS
Marriage And Family TherapistKS
Family Practice, Emergency MedicineKS
Physician AssistantKS
Family PracticeKS
O P T O M E T R YKS
O P T O M E T R YKS
-KS
Family PracticeKS

Reviews

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Frequently asked questions

What federal number belongs to MYRA C LONG (MD)?
The federal identifier for MYRA C LONG (MD) is NPI 1023128535.
Is MYRA C LONG (MD)'s NPI currently valid?
The extract we use shows MYRA C LONG (MD) as active.
What kind of provider is MYRA C LONG (MD)?
The page reflects Family Medicine Physician for MYRA C LONG (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MYRA C LONG (MD)?
The page summarizes Salina, Kansas for MYRA C LONG (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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