MRS. BRETONYA JANEY PHILLIPS-JOHNSON (M.D.) – Anesthesiology Physician, NPI 1104132646
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. BRETONYA JANEY PHILLIPS-JOHNSON (M.D.)
12317 WILLIAMSPORT AVENUE
OKLAHOMA CITY, OK 73120
Phone: (405) 625-1778
Type: Mailing
5501 N PORTLAND AVE
OKLAHOMA CITY, OK 731122074
Phone: (405) 604-6000
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: 2020-03-04
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 |
|---|---|---|---|---|
| I20200304000102 | I | Anesthesiology | TX | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 655 | 603 | $0 |
| 00140 | Anesthesia for other procedure on eye | 130 | 129 | $0 |
| 00103 | Anesthesia for procedure on eyelid | 51 | 51 | $0 |
| 00144 | Anesthesia for procedure on eye for corneal transplant | 37 | 36 | $0 |
| 00145 | Anesthesia for retinal surgery | 26 | 26 | $0 |
Insurance plans in this area (ZIP 73120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| A N E S T H E S I O L O G Y | OR | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Pain Management, Anesthesiology | TX |
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