DR. LARRY HALE JR. PITTMAN (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1003014077

DR. LARRY HALE JR. PITTMAN (D.P.M.) is a healthcare provider. based in Edmond, Oklahoma. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 257 (OK). The NPI Number for DR. LARRY HALE JR. PITTMAN (D.P.M.) is 1003014077

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY HALE JR. PITTMAN (D.P.M.)
NPI
1003014077
Phone
(918) 616-2386
Address
PO BOX 2348
Enumeration Date
11 July 2007
Last Update Date
13 October 2009

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9185677000
Graduation Year
2002 (24 years ago)
PAC ID
4587759956
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20070929000079
Address ID
OK745017143MC1127XEXPY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

122 PODIATRY in OK

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Provider Addresses for DR. LARRY HALE JR. PITTMAN (D.P.M.)

  • PO BOX 2348

    EDMOND, OK 730832348

    Phone: (918) 616-2386

    Type: Mailing

  • Chandler Road, Muskogee, Muskogee County, Oklahoma, 74403, United States

    SUITE 105

    MUSKOGEE, OK 744034957

    Phone: (918) 681-3333

    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: 2007-09-29

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
I20070929000079IPodiatryTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes146101$0
11721Removal of fingernails or toenails, 6 or more nails3130$0
99214Established patient office or other outpatient visit, 30-39 minutes2412$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
73630X-ray of foot, minimum of 3 views1814$0
View full utilization report →

Insurance plans in this area (ZIP 73083)

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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: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
-OK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK

Reviews

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Frequently asked questions

Where can patients find DR. LARRY HALE JR. PITTMAN (D.P.M.)'s NPI?
You can confirm DR. LARRY HALE JR. PITTMAN (D.P.M.) with NPI 1003014077; it appears in the national provider directory.
Is DR. LARRY HALE JR. PITTMAN (D.P.M.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. LARRY HALE JR. PITTMAN (D.P.M.) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for DR. LARRY HALE JR. PITTMAN (D.P.M.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. LARRY HALE JR. PITTMAN (D.P.M.)?
The snapshot lists Edmond, Oklahoma for DR. LARRY HALE JR. PITTMAN (D.P.M.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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