DR. CHARLES E III HARRIS (D.O.) – Emergency Medicine Physician, NPI 1063716280
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for DR. CHARLES E III HARRIS (D.O.)
4023 W 104TH PL S
SAPULPA, OK 740660613
Phone: (918) 869-9952
Type: Mailing
744 W 9TH ST
TULSA, OK 741279020
Phone: (918) 599-1000
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: 2015-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111027000418 | I | Emergency Medicine | OK | TBD |
| I20150112001145 | I | Emergency Medicine | TX | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 38 | 35 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 35 | 34 | $0 |
Insurance plans in this area (ZIP 74066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OK | |
| Neurology, Psychiatry | OK | |
| - | OK | |
| Emergency Medicine | OK | |
| Family Practice | OK | |
| Internal Medicine | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Clinical Psychologist | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | OK |
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