DR. JOHNNY A ZELLMER (M.D.) – Emergency Medicine Physician, NPI 1053347120

DR. JOHNNY A ZELLMER (M.D.) is a healthcare provider. based in Mcalester, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 20237 (OK). The NPI Number for DR. JOHNNY A ZELLMER (M.D.) is 1053347120

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNNY A ZELLMER (M.D.)
NPI
1053347120
Phone
(918) 426-2442
Address
3101 ELKS ROAD
Enumeration Date
23 June 2006
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9184262442212
Graduation Year
1996 (30 years ago)
PAC ID
2567488612
Group Practice PAC ID
1456455575
Professional Enrollment ID
I20051114000499
Address ID
OK745017606MC3101XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for DR. JOHNNY A ZELLMER (M.D.)

  • 3101 ELKS ROAD

    MCALESTER, OK 74501

    Phone: (918) 426-2442

    Fax: (918) 426-0888

    Type: Location

  • 1, Clark Bass Boulevard, McAlester, Pittsburg County, Oklahoma, 74501, United States

    MCALESTER, OK 745014209

    Phone: (918) 426-1800

    Fax: (918) 421-8066

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Gilead Sciences, Inc. ($155).

Total Amount

$314

General + Research + Ownership

Payments

20

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

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: 2005-11-14

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
I20051114000499IEmergency 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74501)

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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: 1456455575View full group profile
NameSpecialtyState
Physician AssistantOK
-OK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Physician AssistantOK
Family PracticeCA
Nurse PractitionerOK
Physician AssistantOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

How do payers reference DR. JOHNNY A ZELLMER (M.D.)?
For DR. JOHNNY A ZELLMER (M.D.), use NPI 1053347120 as the unique 10-digit identifier.
Is DR. JOHNNY A ZELLMER (M.D.) shown as active in public data?
Registry records indicate DR. JOHNNY A ZELLMER (M.D.) maintains an active NPI.
What kind of doctor is DR. JOHNNY A ZELLMER (M.D.)?
DR. JOHNNY A ZELLMER (M.D.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOHNNY A ZELLMER (M.D.)?
Directory geography for DR. JOHNNY A ZELLMER (M.D.) centers on Mcalester, Oklahoma.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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