KORY DRAKE (DO) – Nephrology Physician, NPI 1114423522

KORY DRAKE (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NEPHROLOGY. They hold the professional credentials DO. They hold a License No. 6647 (OK). The NPI Number for KORY DRAKE (DO) is 1114423522

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KORY DRAKE (DO)
NPI
1114423522
Phone
(918) 619-4400
Address
4502 E 41ST ST
Enumeration Date
4 April 2018
Last Update Date
26 July 2023

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Secondary Phone
8645299390
Graduation Year
2018 (8 years ago)
PAC ID
0547645210
Group Practice PAC ID
2961467733
Professional Enrollment ID
I20231228001228
Address ID
SC293063927SP1410XBLVD700
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

123 NEPHROLOGY in OK

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Provider Addresses for KORY DRAKE (DO)

  • University of Oklahoma - Tulsa, 4502, East 41st Street, Max Campbell V, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741352536

    Phone: (918) 619-4400

    Type: Location

  • 203 MILLS AVE

    GREENVILLE, SC 296054019

    Phone: (864) 271-1844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $466.

Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Amgen Inc. ($99).

Total Amount

$466

General + Research + Ownership

Payments

21

Total payment records

General Amount

$466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-28

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231228001228INephrologySCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8935$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5026$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 74135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961467733View full group profile
NameSpecialtyState
Nurse PractitionerSC
N E P H R O L O G YSC
Diagnostic Radiology, Interventional RadiologyTN
Nephrology, Internal MedicineSC
Nurse PractitionerSC
Nurse PractitionerSC
-SC
Registered Dietitian Or Nutrition ProfessionalAZ
Nurse PractitionerSC
N E P H R O L O G YMD

Reviews

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Frequently asked questions

How do payers reference KORY DRAKE (DO)?
For KORY DRAKE (DO), use NPI 1114423522 as the unique 10-digit identifier.
Active or inactive — what applies to KORY DRAKE (DO)?
You should see KORY DRAKE (DO) as active in CMS-hosted NPPES data.
What area of care is associated with KORY DRAKE (DO)?
KORY DRAKE (DO)'s record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is KORY DRAKE (DO) registered?
Use Tulsa, Oklahoma as the headline location for KORY DRAKE (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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