DR. AUSTIN TANNER BROOKOVER (DO) – Emergency Medicine Physician, NPI 1114447984

DR. AUSTIN TANNER BROOKOVER (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 6370 (OK). The NPI Number for DR. AUSTIN TANNER BROOKOVER (DO) is 1114447984

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUSTIN TANNER BROOKOVER (DO)
NPI
1114447984
Phone
(918) 706-4922
Address
5657 S MADISON AVE
Enumeration Date
22 June 2017
Last Update Date
5 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187741100
Graduation Year
2017 (9 years ago)
PAC ID
8022353721
Group Practice PAC ID
9032131735
Professional Enrollment ID
I20190909003872
Address ID
OK749552811SA213XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

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Provider Addresses for DR. AUSTIN TANNER BROOKOVER (DO)

  • 5657, South Madison Avenue, Riverside South, Tulsa, Tulsa County, Oklahoma, 74105, United States

    TULSA, OK 741057712

    Phone: (918) 706-4922

    Type: Mailing

  • Northeastern Health System, 1400, East Downing Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744643324

    Phone: (918) 456-0641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2019-09-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190909003872IEmergency MedicineOKTBD

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
99285Emergency department visit with high level of medical decision making197179$0
99284Emergency department visit with moderate level of medical decision making144132$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10597$0
99291Critical care, first 30-74 minutes4744$0
99292Critical care, each additional 30 minutes3620$0
View full utilization report →

Insurance plans in this area (ZIP 74105)

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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: 9032131735View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. AUSTIN TANNER BROOKOVER (DO) for billing?
Administrative and clinical systems typically use NPI 1114447984 for DR. AUSTIN TANNER BROOKOVER (DO).
Quick check: is DR. AUSTIN TANNER BROOKOVER (DO) active?
Public NPPES data shows DR. AUSTIN TANNER BROOKOVER (DO) with an active NPI status right now.
What type of care does DR. AUSTIN TANNER BROOKOVER (DO) provide?
DR. AUSTIN TANNER BROOKOVER (DO)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. AUSTIN TANNER BROOKOVER (DO)?
DR. AUSTIN TANNER BROOKOVER (DO) shows a connection to Tulsa, Oklahoma in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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