LARRY D. MCKENZIE (DO) – Interventional Pain Medicine Physician, NPI 1003875212
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
103 PAIN MANAGEMENT in OK
Provider Addresses for LARRY D. MCKENZIE (DO)
4716 W URBANA ST STE 200
BROKEN ARROW, OK 740126162
Phone: (918) 710-4112
Fax: (918) 710-4118
Type: Mailing
Southwestern Regional Medical Center, 10109, East 79th Street, The Reserve Villages of Highland Park, Tulsa, Tulsa County, Oklahoma, 74133, United States
TULSA, OK 741334564
Phone: (918) 286-5000
Fax: (918) 249-7532
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,362.
Total Amount is formed as General ($1,362) + Research ($0) + Ownership ($0) = $1,362.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($405).
Total Amount
$1,362
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Collegium Pharmaceutical, Inc. | $405 |
| Averitas Pharma Inc. | $331 |
| Medtronic, Inc. | $148 |
| Merck Sharp & Dohme LLC | $138 |
| SCILEX PHARMACEUTICALS INC. | $82 |
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: 2006-09-01
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 |
|---|---|---|---|---|
| I20060901000299 | I | Pain Management | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 2,842 | 818 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,549 | 751 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 2,544 | 774 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1,083 | 585 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 535 | 349 | $0 |
Insurance plans in this area (ZIP 74012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Interventional Pain Management | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK |
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