CHANCEN DARWIN HALL – Pain Medicine (Anesthesiology) Physician, NPI 1396096632
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
565 ANESTHESIOLOGY in UT
Provider Addresses for CHANCEN DARWIN HALL
1010 N KANSAS ST
WICHITA, KS 672143124
Phone: (316) 268-6147
Type: Mailing
474 W 200 N
SAINT GEORGE, UT 847704505
Phone: (435) 634-5660
Type: Location
3840 S 103RD EAST AVE STE 100
TULSA, OK 741462445
Phone: (918) 921-9700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $2,310.
Total Amount is formed as General ($2,310) + Research ($0) + Ownership ($0) = $2,310.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,021).
Total Amount
$2,310
General + Research + Ownership
Payments
66
Total payment records
General Amount
$2,310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231130000542 | I | Pain Management | OK | TBD |
| I20250924001915 | I | Anesthesiology | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,352 | 22 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 388 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 53 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 66 | 14 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 54 | 47 | $0 |
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Physician Assistant | OK | |
| Anesthesiology, Interventional Pain Management | OK |
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