DR. MARK ALAN MEDLIN (M.D.) – Psychiatry Physician, NPI 1164459582

DR. MARK ALAN MEDLIN (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 16978 (OK). The NPI Number for DR. MARK ALAN MEDLIN (M.D.) is 1164459582

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ALAN MEDLIN (M.D.)
NPI
1164459582
Phone
(918) 492-7722
Address
744 W 9TH ST
Enumeration Date
28 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4054470300
Graduation Year
1988 (38 years ago)
PAC ID
3274421441
Group Practice PAC ID
5799171088
Professional Enrollment ID
I20040309000562
Address ID
OK730269088NO15951DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

363 PSYCHIATRY in OK

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Provider Addresses for DR. MARK ALAN MEDLIN (M.D.)

  • Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States

    TULSA, OK 741279020

    Phone: (918) 492-7722

    Fax: (918) 357-5859

    Type: Location

  • PO BOX 140156

    BROKEN ARROW, OK 740140002

    Phone: (918) 357-5859

    Fax: (918) 357-5859

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($70).

Total Amount

$127

General + Research + Ownership

Payments

4

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-09

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
I20040309000562IPsychiatryOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4226$0
99213Established patient office or other outpatient visit, 20-29 minutes3522$0
90792Psychiatric diagnostic evaluation with medical services1717$0
View full utilization report →

Insurance plans in this area (ZIP 74127)

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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: 5799171088View full group profile
NameSpecialtyState
O P T O M E T R YOK
Nurse PractitionerOK
Family PracticeOK
P O D I A T R YOK
Family PracticeOK
Physical Therapist In Private PracticeOK
Clinical PsychologistNM
Physician AssistantOK
Critical Care (Intensivists), Pulmonary DiseaseDC
Family PracticeOK

Reviews

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Frequently asked questions

Where can patients find DR. MARK ALAN MEDLIN (M.D.)'s NPI?
You can confirm DR. MARK ALAN MEDLIN (M.D.) with NPI 1164459582; it appears in the national provider directory.
Is DR. MARK ALAN MEDLIN (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MARK ALAN MEDLIN (M.D.) as an active registrant.
What field does DR. MARK ALAN MEDLIN (M.D.) work in?
You can think of DR. MARK ALAN MEDLIN (M.D.) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MARK ALAN MEDLIN (M.D.)'s primary listing?
We display Tulsa, Oklahoma because that is what the record indicates for DR. MARK ALAN MEDLIN (M.D.).
Is DR. MARK ALAN MEDLIN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1164459582. Always confirm identity and privileges with the practice and licensing boards.

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