DR. CHARLES ALLEN IV RODMAN (D.O.) – Emergency Medicine Physician, NPI 1013124031

DR. CHARLES ALLEN IV RODMAN (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 4328 (OK). The NPI Number for DR. CHARLES ALLEN IV RODMAN (D.O.) is 1013124031

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES ALLEN IV RODMAN (D.O.)
NPI
1013124031
Phone
(918) 296-7171
Address
11311 S KINGSTON AVE
Enumeration Date
17 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9185023939
Graduation Year
2004 (22 years ago)
PAC ID
1153422464
Group Practice PAC ID
8628140225
Professional Enrollment ID
I20070730000782
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHARLES ALLEN IV RODMAN (D.O.)

  • 11311, South Kingston Avenue East, Woodfield Estates, Tulsa, Oklahoma, 74137, United States

    TULSA, OK 741377734

    Phone: (918) 296-7171

    Type: Mailing

  • Claremore Regional Hospital Heliport, North Muskogee Place, Claremore, Rogers County, Oklahoma, 74017, United States

    1415 N. MUSKOGEE PL

    CLAREMORE, OK 74017

    Phone: (918) 341-2556

    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: 2007-07-30

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
I20070730000782IEmergency MedicineOKTBD

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
99285Emergency department visit with high level of medical decision making282272$0
99291Critical care, first 30-74 minutes182176$0
99284Emergency department visit with moderate level of medical decision making168160$0
99283Emergency department visit with low level of medical decision making3636$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only1515$0
View full utilization report →

Insurance plans in this area (ZIP 74137)

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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: 8628140225View full group profile

Reviews

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Frequently asked questions

How do I look up DR. CHARLES ALLEN IV RODMAN (D.O.) by NPI?
Use NPI 1013124031 when you need to reference DR. CHARLES ALLEN IV RODMAN (D.O.) in forms, claims, or directories.
Is DR. CHARLES ALLEN IV RODMAN (D.O.) active in the national directory?
DR. CHARLES ALLEN IV RODMAN (D.O.)'s public NPI profile is in an active state.
What does DR. CHARLES ALLEN IV RODMAN (D.O.) treat or focus on?
Patients typically see DR. CHARLES ALLEN IV RODMAN (D.O.) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CHARLES ALLEN IV RODMAN (D.O.)?
We surface Tulsa, Oklahoma for DR. CHARLES ALLEN IV RODMAN (D.O.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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