SHAD T BATEMAN (DO) – Family Medicine Physician, NPI 1104478007
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for SHAD T BATEMAN (DO)
1600, West University Boulevard, Durant, Bryan County, Oklahoma, 74701, United States
DURANT, OK 747013094
Phone: (580) 924-5500
Fax: (580) 924-1991
Type: Location
98 POPLAR ST
BLACKFOOT, ID 832211758
Phone: (208) 782-2980
Fax: (208) 785-3504
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $345.
Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Averitas Pharma Inc. ($58).
Total Amount
$345
General + Research + Ownership
Payments
16
Total payment records
General Amount
$345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-09-19
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 |
|---|---|---|---|---|
| I20220919002023 | I | Family Practice | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| - | MO | |
| Physician Assistant | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Emergency Medicine | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| - | ID | |
| - | WA |
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