ANNA STIDHAM (M.D.) – Diagnostic Radiology Physician, NPI 1114066180
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 DIAGNOSTIC RADIOLOGY in OK
Provider Addresses for ANNA STIDHAM (M.D.)
940 STANTON L YOUNG BLVD
BMSB 357
OKLAHOMA CITY, OK 731045020
Phone:
Type: Mailing
1200 EVERETT DR
1 NP 606
OKLAHOMA CITY, OK 731045047
Phone: (405) 271-5125
Type: Location
8516 S Portland Ave
Oklahoma City, OK 731592233
Phone: (405) 768-1970
Fax: (405) 438-3993
Type: Location
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 $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $34 |
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: 2008-04-30
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 |
|---|---|---|---|---|
| I20080430000758 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 1,016 | 1,016 | $0 |
| 77063 | Screening 3d breast mammography | 744 | 744 | $0 |
| 71045 | X-ray of chest, 1 view | 292 | 270 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 168 | 168 | $0 |
| 70450 | Ct scan head or brain without contrast | 128 | 125 | $0 |
Insurance plans in this area (ZIP 73104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OK | 71250 | CT scan chest | 91 | 90 |
| DIAGNOSTIC RADIOLOGY | OK | 73630 | X-ray of foot, minimum of 3 views | 14 | 12 |
| DIAGNOSTIC RADIOLOGY | OK | 76830 | Ultrasound pelvis through vagina | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | OK | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | VA | |
| General Practice | NY | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Diagnostic Radiology | NJ |
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