ADRIAN C DONNELLY (PA-C) – Physician Assistant, NPI 1164881199
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for ADRIAN C DONNELLY (PA-C)
9228, South Mingo Road, Woodland Glens, Tulsa, Tulsa County, Oklahoma, 74133, United States
SUITE 200
TULSA, OK 741335718
Phone: (918) 592-0999
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 324 Open Payments records for all available years, with a total value of $6,107.
Total Amount is formed as General ($6,107) + Research ($0) + Ownership ($0) = $6,107.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Lilly USA, LLC ($913).
Total Amount
$6,107
General + Research + Ownership
Payments
324
Total payment records
General Amount
$6,107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $913 |
| Dexcom, Inc. | $575 |
| Abbott Laboratories | $492 |
| Novo Nordisk Inc | $366 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $293 |
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: 2016-03-04
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 |
|---|---|---|---|---|
| I20160304000573 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 3,360 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 371 | 277 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 72 | 48 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 57 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 52 | $0 |
Insurance plans in this area (ZIP 74133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | OK | |
| - | OK | |
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Interventional Cardiology | OK | |
| - | OK | |
| - | OK | |
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Interventional Cardiology | OK |
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