DR. KYLE B BASHAM (MD) – Urology Physician, NPI 1043573355
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
313 UROLOGY in TN
Provider Addresses for DR. KYLE B BASHAM (MD)
10901 E 48TH ST
TULSA, OK 741465830
Phone: (918) 749-8765
Fax: (918) 392-2155
Type: Mailing
5500 ELLSWORTH RD
FORT SMITH, AR 729033222
Phone: (479) 709-7295
Type: Mailing
1924 ALCOA HWY # U-11
KNOXVILLE, TN 379201511
Phone: (865) 305-9230
Fax: (865) 305-8894
Type: Location
6801 ROGERS AVE STE 202
FORT SMITH, AR 729034067
Phone: (479) 573-3947
Fax: (479) 478-0548
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 131 Open Payments records for all available years, with a total value of $3,650.
Total Amount is formed as General ($3,650) + Research ($0) + Ownership ($0) = $3,650.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($688).
Total Amount
$3,650
General + Research + Ownership
Payments
131
Total payment records
General Amount
$3,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $688 |
| Boston Scientific Corporation | $572 |
| PROCEPT BioRobotics Corporation | $521 |
| COLOPLAST CORP | $448 |
| Bayer Healthcare Pharmaceuticals Inc. | $167 |
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: 2017-08-29
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170829002550 | I | Urology | AR | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3,050 | 21 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 592 | 366 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 262 | 212 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 248 | 183 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 149 | 129 | $0 |
Insurance plans in this area (ZIP 74146)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| Physician Assistant | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| U R O L O G Y | OK | |
| Physician Assistant | OK | |
| U R O L O G Y | OK | |
| U R O L O G Y | OK | |
| U R O L O G Y | OK |
Reviews
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