CHARLES M FOFANG (NP) – Nurse Practitioner, NPI 1093225989
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for CHARLES M FOFANG (NP)
1812 Brittany Ln
Edmond, OK 730033810
Phone: (216) 269-9592
Type: Location
1812, Brittany Lane, Edmond, Oklahoma County, Oklahoma, 73003, United States
EDMOND, OK 730033810
Phone: (216) 269-9592
Type: Mailing
PO BOX 26901
OKLAHOMA CITY, OK 731260901
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Mailing
1122 NE 13TH ST
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: ABIOMED ($40).
Total Amount
$40
General + Research + Ownership
Payments
1
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $40 |
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: 2018-05-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180514002493 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 34 | 29 | $0 |
| 99291 | Critical care, first 30-74 minutes | 18 | 18 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 73003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Neurology | OK | |
| Internal Medicine | KS | |
| Nurse Practitioner | OK | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | OK | |
| Nurse Practitioner | OK | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | OK | |
| Pulmonary Disease, Critical Care (Intensivists) | OK | |
| Nurse Practitioner | OK | |
| N E U R O L O G Y | OK | |
| Pulmonary Disease, Internal Medicine | OK |
Reviews
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