THOMAS KELLY TKACH (MD) – Orthopaedic Surgery Physician, NPI 1093713331
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
328 ORTHOPEDIC SURGERY in OK
Provider Addresses for THOMAS KELLY TKACH (MD)
9600 BROADWAY EXT
OKLAHOMA CITY, OK 731147408
Phone: (405) 230-9000
Fax: (405) 230-9157
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $37,890.
Total Amount is formed as General ($30,840) + Research ($7,050) + Ownership ($0) = $37,890.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Corentec America,Inc. ($27,608).
Total Amount
$37,890
General + Research + Ownership
Payments
28
Total payment records
General Amount
$30,840
General payments
Research Amount
$7,050
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corentec America,Inc. | $27,608 |
| Medacta USA, Inc. | $7,050 |
| ORTHO DEVELOPMENT CORPORATION | $2,547 |
| Total Joint Orthopedics, Inc. | $472 |
| OMNIlife science, Inc | $148 |
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: 2009-12-03
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 |
|---|---|---|---|---|
| I20091203000205 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 823 | 702 | $0 |
| 73562 | X-ray of knee, 3 views | 616 | 452 | $0 |
| 73502 | X-ray of hip, 2-3 views | 281 | 254 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 172 | 167 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 171 | 155 | $0 |
Insurance plans in this area (ZIP 73114)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Hand Surgery | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice, Sports Medicine | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| P O D I A T R Y | OK |
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