QUINTON TY BOHANNON (P.A.-C) – Medical Physician Assistant, NPI 1003154725
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for QUINTON TY BOHANNON (P.A.-C)
108 W OHIO AVE
COALGATE, OK 745382827
Phone: (580) 927-2334
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $349.
Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($122).
Total Amount
$349
General + Research + Ownership
Payments
8
Total payment records
General Amount
$349
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 |
|---|---|
| AIMMUNE THERAPEUTICS, INC. | $122 |
| Pharmacosmos Therapeutics Inc. | $104 |
| Boston Scientific Corporation | $69 |
| ABBVIE INC. | $53 |
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: 2013-09-26
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 |
|---|---|---|---|---|
| I20130926000065 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,129 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 800 | 376 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 438 | 105 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 378 | 76 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 377 | 214 | $0 |
Insurance plans in this area (ZIP 74538)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.