MRS. TONYA JOY BOLES (PAC) – Physician Assistant, NPI 1104988070
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for MRS. TONYA JOY BOLES (PAC)
Kiamichi Family Medical Center, 6026, Battiest-Pickens Road, Battiest, McCurtain County, Oklahoma, 74728, United States
BROKEN BOW, OK 747285033
Phone: (580) 241-5294
Fax: (580) 241-5739
Type: Location
PO BOX 180
BATTIEST, OK 747220180
Phone: (580) 241-5294
Fax: (580) 241-5739
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Exact Sciences Corporation ($31).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $31 |
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: 2004-05-19
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 |
|---|---|---|---|---|
| I20040519000256 | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 14 | 13 | $0 |
Insurance plans in this area (ZIP 74728)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| - | OK | |
| Clinical Social Worker | OK | |
| - | OK | |
| Family Practice, Emergency Medicine | TN | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| General Practice | OK | |
| Family Practice, General Practice | TX | |
| Physician Assistant | OK |
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