DR. JODY GENE ROSE (DPM) – Podiatrist, NPI 1184623001
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 PODIATRY in OK
Provider Addresses for DR. JODY GENE ROSE (DPM)
4400 GRANT BLVD STE 110
YUKON, OK 730990038
Phone: (405) 733-1711
Fax: (405) 733-3111
Type: Location
Parklawn Office Park, 2801, Parklawn Drive, Midwest City, Oklahoma County, Oklahoma, 73110, United States
STE 405
MIDWEST CITY, OK 731104211
Phone: (405) 733-1711
Fax: (405) 733-3111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $164.
Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.
Last reported payment date: 2024-01-24 • Largest payer in this snapshot: restor3d, inc. ($144).
Total Amount
$164
General + Research + Ownership
Payments
2
Total payment records
General Amount
$164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| restor3d, inc. | $144 |
| Stryker Corporation | $20 |
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: 2006-12-11
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 |
|---|---|---|---|---|
| I20061211000490 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 375 | 197 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 173 | 173 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 136 | 88 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 97 | 58 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 50 | 20 | $0 |
Insurance plans in this area (ZIP 73099)
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Provider's Procedures
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