DR. GRANT KEVIN DEWITT (DO) – Emergency Medicine Physician, NPI 1124798491
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for DR. GRANT KEVIN DEWITT (DO)
12420 SW GRACLYN CT
LAWTON, OK 735056009
Phone: (580) 884-0331
Type: Mailing
3401 W GORE BLVD
LAWTON, OK 735056332
Phone: (580) 884-0331
Type: Location
1323 W 6th Ave
Stillwater, OK 740744306
Phone: (405) 742-5454
Type: Location
1500 N Green Ave
Purcell, OK 730801642
Phone: (405) 527-6524
Type: Location
2401 W Wrangler Blvd
Seminole, OK 748681917
Phone: (432) 758-5811
Type: Location
3701 E Main St
Weatherford, OK 730963309
Phone: (580) 772-5551
Type: Location
8286 E 33RD ST
TULSA, OK 741451406
Phone: (580) 884-0331
Type: Mailing
1111 W 17TH ST
TULSA, OK 741071886
Phone: (580) 884-0331
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: 2024-08-25
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 |
|---|---|---|---|---|
| I20240825000146 | I | Emergency Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OK | |
| Nurse Practitioner | LA | |
| Physician Assistant | IL | |
| Emergency Medicine, Family Practice, Emergency Medicine | IN | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine, Family Practice | OK |
Reviews
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