IVAN WAYNE (MD) – Facial Plastic Surgery Physician, NPI 1134198260
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 OTOLARYNGOLOGY in OK
Provider Addresses for IVAN WAYNE (MD)
6608 N WESTERN AVE # 416
NICHOLS HILLS, OK 731167326
Phone: (405) 748-5950
Fax: (405) 607-3580
Type: Mailing
10001 BROADWAY EXT STE A
OKLAHOMA CITY, OK 731146307
Phone: (405) 748-5950
Fax: (405) 607-3580
Type: Location
3033, Northwest 63rd Street, Oklahoma City, Oklahoma County, Oklahoma, 73116, United States
SUITE 152
OKLAHOMA CITY, OK 731163634
Phone: (405) 755-6651
Fax: (405) 607-3559
Type: Mailing
13904, Quailbrook Drive, Oklahoma City, Oklahoma County, Oklahoma, 73134, United States
OKLAHOMA CITY, OK 731341718
Phone: (405) 748-5990
Fax: (405) 607-3580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $585.
Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($288).
Total Amount
$585
General + Research + Ownership
Payments
5
Total payment records
General Amount
$585
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $288 |
| Medtronic, Inc. | $166 |
| Regeneron Healthcare Solutions, Inc. | $115 |
| REVANCE THERAPEUTICS, INC. | $16 |
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: 2006-01-16
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 |
|---|---|---|---|---|
| I20060116000455 | I | Otolaryngology | 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 73116)
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