TRAYSTON FRAZIER (CAA) – Anesthesiologist Assistant, NPI 1174267058

TRAYSTON FRAZIER (CAA) is a healthcare provider. based in Tulsa, Oklahoma. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. The NPI Number for TRAYSTON FRAZIER (CAA) is 1174267058

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
TRAYSTON FRAZIER (CAA)
NPI
1174267058
Phone
(435) 669-1511
Address
8336 S LEWIS AVE APT 406
Enumeration Date
26 April 2022
Last Update Date
26 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185991000
Graduation Year
2022 (4 years ago)
PAC ID
0042690786
Group Practice PAC ID
0547448524
Professional Enrollment ID
I20220712001145
Address ID
OK741279907TU744XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

30 ANESTHESIOLOGY ASSISTANT in OK

Provider Addresses for TRAYSTON FRAZIER (CAA)

  • 8336 S LEWIS AVE APT 406

    TULSA, OK 741371503

    Phone: (435) 669-1511

    Type: Mailing

  • 1923 S UTICA AVE

    TULSA, OK 741046520

    Phone: (187) 775-8169

    Type: Location

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: 2022-07-12

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
I20220712001145IAnesthesiology AssistantOKTBD

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
01402Anesthesia for procedure for total knee joint replacement1616$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 74137)

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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: 0547448524View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
Anesthesiology AssistantOH
Anesthesiology AssistantOK
A N E S T H E S I O L O G YPA
Anesthesiology AssistantCO
Anesthesiology, General PracticeOK
Anesthesiology AssistantOK
Anesthesiology AssistantOK
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

Can I verify TRAYSTON FRAZIER (CAA) with an NPI only?
You can start verification with NPI 1174267058 for TRAYSTON FRAZIER (CAA), then check state licensing separately.
Can I rely on TRAYSTON FRAZIER (CAA) being an active provider?
As of the registry snapshot, TRAYSTON FRAZIER (CAA) is marked active.
What is TRAYSTON FRAZIER (CAA)'s specialty?
The listing groups TRAYSTON FRAZIER (CAA) with Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for TRAYSTON FRAZIER (CAA)?
TRAYSTON FRAZIER (CAA)'s geographic hint is Tulsa, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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