KEITH KURT FISCHBORN (MD) – Emergency Medicine Physician, NPI 1023334067
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KEITH KURT FISCHBORN (MD)
1000 N LEE AVE
OKLAHOMA CITY, OK 731021036
Phone: (405) 272-6154
Type: Location
4502 E 41st St
Tulsa, OK 741359923
Phone: (918) 660-3505
Type: Location
4502 E 41ST ST
DEPARTMENT OF EMERGENCY MEDICINE
TULSA, OK 741359923
Phone: (918) 660-3505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($49).
Total Amount
$71
General + Research + Ownership
Payments
4
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $49 |
| PFIZER INC. | $21 |
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: 2012-04-16
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 |
|---|---|---|---|---|
| I20120416000085 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 443 | 423 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 316 | 309 | $0 |
| 99291 | Critical care, first 30-74 minutes | 117 | 113 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 34 | 34 | $0 |
Insurance plans in this area (ZIP 73102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Internal Medicine | OK | |
| U R O L O G Y | OK | |
| Family Practice | OK | |
| - | OK | |
| U R O L O G Y | OK | |
| Family Practice | OK |
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