WHITNEY T MASHBURN (PA-C) – Physician Assistant, NPI 1083952485
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for WHITNEY T MASHBURN (PA-C)
1616 S KELLY AVE
EDMOND, OK 730133651
Phone: (405) 285-8823
Fax: (405) 285-8824
Type: Location
1616 S. KELLY AVE
EDMOND, OK 730133651
Phone: (405) 285-8823
Fax: (405) 285-8824
Type: Mailing
1354 E 15TH ST
EDMOND, OK 730135029
Phone: (405) 285-8823
Fax: (405) 285-8824
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $2,540.
Total Amount is formed as General ($2,540) + Research ($0) + Ownership ($0) = $2,540.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($442).
Total Amount
$2,540
General + Research + Ownership
Payments
91
Total payment records
General Amount
$2,540
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $442 |
| Ortho Dermatologics, a division of Bausch Health US, LLC | $376 |
| Lilly USA, LLC | $243 |
| ABBVIE INC. | $192 |
| Krystal Biotech Inc | $181 |
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: 2013-06-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130605000232 | I | Physician Assistant | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | OK | |
| Nurse Practitioner | OK | |
| R H E U M A T O L O G Y | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Rheumatology, Internal Medicine | OK | |
| D E R M A T O L O G Y | OK | |
| Internal Medicine, Rheumatology | OK | |
| Physician Assistant | OK | |
| D E R M A T O L O G Y | OK |
Reviews
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