SAMUEL ELDER (PA-C) – Medical Physician Assistant, NPI 1104281435
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for SAMUEL ELDER (PA-C)
3300 HEALTHPLEX PKWY
NORMAN, OK 730729749
Phone: (405) 515-1500
Type: Location
2900 S TELEPHONE RD
MOORE, OK 731602968
Phone: (405) 237-7500
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-10-11 • Largest payer in this snapshot: CSL Behring ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $29 |
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: 2016-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160406002207 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 169 | 166 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 62 | 61 | $0 |
Insurance plans in this area (ZIP 73072)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | OK | |
| Orthopedic Surgery, Hand Surgery | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Hospitalist, Internal Medicine | OK | |
| Pediatric Medicine, Hematology/Oncology | VA | |
| Pulmonary Disease, Internal Medicine | OK | |
| Clinical Psychologist | OK | |
| Emergency Medicine | OK | |
| Critical Care (Intensivists), Pediatric Medicine | OK | |
| Endocrinology, Pediatric Medicine | OK |
Reviews
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