MR. BENNY ROSS WOFFORD (PA) – Physician Assistant, NPI 1104871995
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. BENNY ROSS WOFFORD (PA)
1921 STONECIPHER BLVD
ADA, OK 748203439
Phone: (580) 436-3980
Type: Location
530, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States
SUITE A
ADA, OK 748204675
Phone: (580) 436-7101
Fax: (580) 436-4447
Type: Mailing
Mercy Hospital Ada, 430, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States
ADA, OK 748204610
Phone: (580) 421-1127
Fax: (580) 436-6674
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2018-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060605000175 | I | Physician Assistant | OK | TBD |
| I20180220001319 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 45 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 26 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 23 | 23 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 22 | 22 | $0 |
Insurance plans in this area (ZIP 74820)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OK | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 221 | 198 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | OK | |
| - | MO | |
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| O P T O M E T R Y | OK | |
| Nurse Practitioner | OK | |
| - | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.