DR. WILLIAM JACK JR. MYERS (D.O) – Surgery Physician, NPI 1134204852
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
354 GENERAL SURGERY in OK
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Provider Addresses for DR. WILLIAM JACK JR. MYERS (D.O)
610 E SEATTLE PL
BROKEN ARROW, OK 740128107
Phone: (918) 606-1984
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)
CMS reports 3 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Davol Inc. ($61).
Total Amount
$98
General + Research + Ownership
Payments
3
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $61 |
| Kerecis Limited | $37 |
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: 2005-10-13
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 |
|---|---|---|---|---|
| I20051013000843 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 74012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Nephrology | OK | |
| Hematology/Oncology, Internal Medicine | TX | |
| Nephrology, Internal Medicine | OKLAHOMA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OK | |
| R H E U M A T O L O G Y | NY | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| N E U R O S U R G E R Y | KS | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK |
Reviews
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