KIMBERLIE K DULLYE (MD) – Anesthesiology Physician, NPI 1023026762
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
580 ANESTHESIOLOGY in OK
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Provider Addresses for KIMBERLIE K DULLYE (MD)
Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States
TULSA, OK 741279020
Phone: (918) 587-2561
Type: Location
East 44th Street, Quail Ridge, Tulsa, Oklahoma, 74134, United States
TULSA, OK 741054213
Phone: (918) 745-0117
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2023-02-23 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($109).
Total Amount
$109
General + Research + Ownership
Payments
1
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EAGLE PHARMACEUTICALS, INC. | $109 |
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: 2004-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040921001004 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 74127)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | OK | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | OH | |
| Anesthesiology Assistant | OK | |
| Anesthesiology Assistant | CO | |
| A N E S T H E S I O L O G Y | MO | |
| A N E S T H E S I O L O G Y | OK | |
| A N E S T H E S I O L O G Y | OK | |
| - | OK | |
| A N E S T H E S I O L O G Y | OK | |
| A N E S T H E S I O L O G Y | OK | |
| A N E S T H E S I O L O G Y | OK |
Reviews
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