Unknown Individual – Psychiatry Physician, NPI 1093879272
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2201, Westpark Drive, Norman, Cleveland County, Oklahoma, 73069, United States
NORMAN, OK 730694012
Phone: (405) 579-4111
Fax: (405) 579-4223
Type: Location
520, 24th Avenue Southwest, Norman, Cleveland County, Oklahoma, 73069, United States
NORMAN, OK 730695106
Phone: (405) 570-4264
Fax: (405) 701-5667
Type: Mailing
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-02-14 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 73069)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | OK | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 24 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Clinical Social Worker | OK | |
| P S Y C H I A T R Y | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Mental Health Counselor | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK |
Reviews
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