SIMEON JAGGERNAUTH (DO) – Medical Oncology Physician, NPI 1083667737
Medical Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
53 MEDICAL ONCOLOGY in OK
Provider Addresses for SIMEON JAGGERNAUTH (DO)
11212 E 48TH ST
TULSA, OK 741465824
Phone: (918) 556-3000
Fax: (918) 556-7052
Type: Location
2526, South Pinnacle Hills Parkway, Rogers, Benton County, Arkansas, 72758, United States
ROGERS, AR 727588939
Phone: (479) 271-8900
Fax: (479) 715-8060
Type: Mailing
6600 S YALE AVE STE 1200
TULSA, OK 741363361
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $10,824.
Total Amount is formed as General ($10,824) + Research ($0) + Ownership ($0) = $10,824.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($9,923).
Total Amount
$10,824
General + Research + Ownership
Payments
26
Total payment records
General Amount
$10,824
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $9,923 |
| Merck Sharp & Dohme LLC | $270 |
| AstraZeneca Pharmaceuticals LP | $178 |
| Novocure Inc. | $112 |
| Daiichi Sankyo Inc. | $94 |
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: 2023-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050601000664 | I | Medical Oncology | OK | TBD |
| I20160901001075 | I | Medical Oncology | AR | TBD |
| I20220503001358 | I | Medical Oncology | HI | TBD |
| I20231215001626 | I | Hematology/Oncology | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 77 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 48 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 74146)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | OK | |
| Pediatric Medicine | OK | |
| - | OK |
Reviews
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