GREGORY LEWIS (MD) – Family Medicine Physician, NPI 1053601302

GREGORY LEWIS (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 28635 (OK). The NPI Number for GREGORY LEWIS (MD) is 1053601302

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY LEWIS (MD)
NPI
1053601302
Phone
(918) 493-7880
Address
7600 S Lewis Ave
Enumeration Date
7 April 2011
Last Update Date
19 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7193366767
Graduation Year
2011 (15 years ago)
PAC ID
4082853080
Group Practice PAC ID
4486568508
Professional Enrollment ID
I20210322001298
Address ID
CO810523953LA403XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for GREGORY LEWIS (MD)

  • 7600 S Lewis Ave

    Tulsa, OK 741366836

    Phone: (918) 493-7880

    Type: Location

  • 7600 S LEWIS AVE

    TULSA, OK 741366836

    Phone:

    Type: Mailing

  • 7501 RIVERSIDE PKWY

    TULSA, OK 741365056

    Phone: (918) 710-4208

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130625000033IFamily PracticeOKTBD
I20210322001298IFamily PracticeCOTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4116$0
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 4486568508View full group profile
NameSpecialtyState
Pediatric Medicine, Pediatric Medicine, Internal MedicineCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerCO
Family PracticeCO
Physician AssistantCA
General SurgeryWA
Hospitalist, Family PracticeID
-CA
Family PracticeTX
Physician AssistantCO

Reviews

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Frequently asked questions

What number should I use to identify GREGORY LEWIS (MD) for billing?
Administrative and clinical systems typically use NPI 1053601302 for GREGORY LEWIS (MD).
Is GREGORY LEWIS (MD)'s NPI status active today?
Active status means GREGORY LEWIS (MD)'s NPI record is not deactivated in the public file.
What type of care does GREGORY LEWIS (MD) provide?
GREGORY LEWIS (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to GREGORY LEWIS (MD)?
The directory associates GREGORY LEWIS (MD) with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
Why is information missing for GREGORY LEWIS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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