MR. JOHN F LINE (PA-C) – Physician Assistant, NPI 1982697553
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for MR. JOHN F LINE (PA-C)
444 FOUR STATES DR STE 1
GALENA, KS 667394325
Phone: (620) 783-4441
Type: Mailing
South Utica Avenue, Andalusia, Tulsa, Tulsa County, Oklahoma, 74114, United States
TULSA, OK 741044013
Phone: (918) 579-3825
Fax: (918) 579-1262
Type: Mailing
100, South 101st East Avenue, Rosewood, Tulsa, Tulsa County, Oklahoma, 74128, United States
TULSA, OK 741337546
Phone: (918) 574-0220
Fax: (918) 574-0229
Type: Location
4140 SE Adams Rd
Ste 102
Bartlesville, OK 74006
Phone: (918) 331-1653
Fax: (918) 331-1645
Type: Location
8803 S 101st East Ave Ste 100
Tulsa, OK 741337546
Phone: (918) 574-0220
Fax: (918) 574-0229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $685.
Total Amount is formed as General ($685) + Research ($0) + Ownership ($0) = $685.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Davol Inc. ($316).
Total Amount
$685
General + Research + Ownership
Payments
11
Total payment records
General Amount
$685
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $316 |
| Organogenesis Inc. | $227 |
| Reapplix Inc. | $108 |
| Ipsen Biopharmaceuticals, Inc | $19 |
| Pacira Pharmaceuticals Incorporated | $15 |
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: 2023-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050527000479 | I | Physician Assistant | OK | TBD |
| I20180523002666 | I | Physician Assistant | KS | TBD |
| I20230406002268 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 90 | $0 |
| 73502 | X-ray of hip, 2-3 views | 100 | 36 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 73 | 18 | $0 |
| 73552 | X-ray of thigh bone, minimum 2 views | 62 | 21 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 36 | 23 | $0 |
Insurance plans in this area (ZIP 66739)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | MO | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists) | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Vascular Surgery | ID | |
| - | MO | |
| Orthopedic Surgery | KS | |
| N E U R O L O G Y | MO | |
| - | MO |
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