JEFFREY OWEN – Psychiatry Physician, NPI 1144636176

JEFFREY OWEN is a healthcare provider. based in Tulsa, Oklahoma. specializing in Psychiatry Physician. They hold a License No. 6838 (OK). The NPI Number for JEFFREY OWEN is 1144636176

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY OWEN
NPI
1144636176
Phone
(918) 982-6524
Address
4870 S LEWIS AVE STE 240
Enumeration Date
10 July 2014
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9186194000
Graduation Year
2014 (12 years ago)
PAC ID
4183929771
Group Practice PAC ID
5395645329
Professional Enrollment ID
I20200122000884
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JEFFREY OWEN

  • 4870 S LEWIS AVE STE 240

    TULSA, OK 741055153

    Phone: (918) 982-6524

    Fax: (539) 399-7559

    Type: Mailing

  • 4502 E 41ST ST

    TULSA, OK 741352536

    Phone: (918) 660-3632

    Fax: (918) 660-3631

    Type: Mailing

  • 9228 S Mingo Rd Ste 101

    Tulsa, OK 741335721

    Phone: (918) 221-0877

    Fax: (918) 660-3631

    Type: Location

  • 4502 E 41st St

    Tulsa, OK 741352536

    Phone: (918) 660-3103

    Fax: (918) 660-3631

    Type: Location

  • 932 E 34th St

    Joplin, MO 648043932

    Phone: (417) 347-7600

    Fax: (417) 347-9810

    Type: Location

  • 9228 S MINGO RD STE 101

    TULSA, OK 741335721

    Phone: (918) 221-0877

    Fax: (918) 660-3631

    Type: Mailing

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: 2020-01-22

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
I20200122000884IPsychiatryOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 5395645329View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JEFFREY OWEN in U.S. healthcare records?
The official identifier for JEFFREY OWEN is NPI 1144636176.
Active or inactive — what applies to JEFFREY OWEN?
You should see JEFFREY OWEN as active in CMS-hosted NPPES data.
How would a patient describe JEFFREY OWEN's focus?
For JEFFREY OWEN, the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEFFREY OWEN?
Travel planning: use Tulsa, Oklahoma as the reference point for JEFFREY OWEN, then confirm.
What does 9 location(s) imply?
9 practice locations appear in the available data.

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