DR. PATRICE ELAINE MOONEY (DO) – Family Medicine Physician, NPI 1104072818

DR. PATRICE ELAINE MOONEY (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 4043 (OK). The NPI Number for DR. PATRICE ELAINE MOONEY (DO) is 1104072818

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICE ELAINE MOONEY (DO)
NPI
1104072818
Phone
(405) 248-2844
Address
5822 E 64TH ST
Enumeration Date
13 August 2008
Last Update Date
13 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807652501
Graduation Year
2001 (25 years ago)
PAC ID
6103959499
Group Practice PAC ID
1456324193
Professional Enrollment ID
I20100806000809
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. PATRICE ELAINE MOONEY (DO)

  • 5822, East 64th Street, Hidden Valley / Southmont Estates, Tulsa, Tulsa County, Oklahoma, 74136, United States

    TULSA, OK 741362137

    Phone: (405) 248-2844

    Type: Mailing

  • 501, Southeast Flower Mound Road, Lawton, Comanche County, Oklahoma, 73501, United States

    LAWTON, OK 735016388

    Phone: (580) 351-6511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-08-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100806000809IFamily PracticeOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10553$0
36415Insertion of needle into vein for collection of blood sample5035$0
96372Injection of drug or substance under skin or into muscle3515$0
80053Blood test, comprehensive group of blood chemicals2922$0
81003Automated urinalysis test2824$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456324193View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
O P T O M E T R YOK
Family PracticeMO
Clinical Social WorkerOK
-OK
C H I R O P R A C T I COK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Does DR. PATRICE ELAINE MOONEY (DO) have a public NPI I can cite?
Public records show DR. PATRICE ELAINE MOONEY (DO) under NPI 1104072818.
Does the public listing show DR. PATRICE ELAINE MOONEY (DO) as active?
DR. PATRICE ELAINE MOONEY (DO)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. PATRICE ELAINE MOONEY (DO)?
NPPES ties DR. PATRICE ELAINE MOONEY (DO) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. PATRICE ELAINE MOONEY (DO) tied to Tulsa, Oklahoma?
If you are local to Tulsa, Oklahoma, DR. PATRICE ELAINE MOONEY (DO) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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