TARA LINVILLE (PA-C) – Medical Physician Assistant, NPI 1013994458

TARA LINVILLE (PA-C) is a healthcare provider. based in Bartlesville, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1108 (OK). The NPI Number for TARA LINVILLE (PA-C) is 1013994458

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
TARA LINVILLE (PA-C)
NPI
1013994458
Phone
(918) 336-5454
Address
501 SE Frank Phillips Blvd
Enumeration Date
28 December 2005
Last Update Date
14 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182459675
Graduation Year
2000 (26 years ago)
PAC ID
1759318132
Group Practice PAC ID
9436122496
Professional Enrollment ID
I20050921000821
Address ID
OK740634001SA20XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for TARA LINVILLE (PA-C)

  • 501 SE Frank Phillips Blvd

    Suite 202

    Bartlesville, OK 740033913

    Phone: (918) 336-5454

    Fax: (918) 336-4449

    Type: Location

  • South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States

    TULSA, OK 741363361

    Phone: (918) 488-6045

    Fax: (918) 488-6098

    Type: Mailing

  • 1200, South Yale Avenue, Mid-Tulsa, Tulsa, Tulsa County, Oklahoma, 74112, United States

    TULSA, OK 74136

    Phone: (918) 502-3376

    Fax: (918) 502-3375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 424 Open Payments records for all available years, with a total value of $9,481.

Total Amount is formed as General ($9,481) + Research ($0) + Ownership ($0) = $9,481.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($1,313).

Total Amount

$9,481

General + Research + Ownership

Payments

424

Total payment records

General Amount

$9,481

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

View all Open Payments →|Open Payments Risk Radar →

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: 2005-09-21

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
I20050921000821IPhysician AssistantOKTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,084174$0
99213Established patient office or other outpatient visit, 20-29 minutes660460$0
17110Destruction of skin growth, 1-14 growths325271$0
17000Destruction of precancer skin growth, 1 growth279226$0
99203New patient office or other outpatient visit, 30-44 minutes221221$0
View full utilization report →

Insurance plans in this area (ZIP 74003)

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Provider's Procedures

TARA LINVILLE (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOK17003Destruction of 2-14 skin growths1768307

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: 9436122496View full group profile
NameSpecialtyState
-OK
-MT
Family PracticeOK
-OK
O B S T E T R I C S/ G Y N E C O L O G YOK
U R O L O G YOK
Orthopedic SurgeryOK
Physician AssistantOK
Family PracticeOK
-OK

Reviews

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Frequently asked questions

What federal number belongs to TARA LINVILLE (PA-C)?
The federal identifier for TARA LINVILLE (PA-C) is NPI 1013994458.
Does this profile mean TARA LINVILLE (PA-C) is currently active?
Yes — TARA LINVILLE (PA-C) appears active in the national provider directory.
What kind of provider is TARA LINVILLE (PA-C)?
The page reflects Medical Physician Assistant for TARA LINVILLE (PA-C). Clinical services aligned with this taxonomy classification.
Does TARA LINVILLE (PA-C) practice in Oklahoma?
You will see Bartlesville, Oklahoma on file for TARA LINVILLE (PA-C) alongside any extra practice locations.
How can I contact TARA LINVILLE (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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