MR. AARON SHANE WASHINGTON (PA-C) – Surgical Physician Assistant, NPI 1205184058

MR. AARON SHANE WASHINGTON (PA-C) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2164 (OK). The NPI Number for MR. AARON SHANE WASHINGTON (PA-C) is 1205184058

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. AARON SHANE WASHINGTON (PA-C)
NPI
1205184058
Phone
(405) 748-3300
Address
4120 W MEMORIAL RD
Enumeration Date
28 August 2012
Last Update Date
3 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8178785333
Graduation Year
2012 (14 years ago)
PAC ID
7214186758
Group Practice PAC ID
0840273868
Professional Enrollment ID
I20221118001601
Address ID
TX761044049FO1900XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. AARON SHANE WASHINGTON (PA-C)

  • 4120 W MEMORIAL RD

    SUITE 300

    OKLAHOMA CITY, OK 731209320

    Phone: (405) 748-3300

    Fax: (405) 749-1671

    Type: Mailing

  • 1900 MISTLETOE BLVD STE 200

    FORT WORTH, TX 761044049

    Phone: (817) 878-5333

    Fax: (817) 878-5334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $523.

Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Baxter Healthcare ($145).

Total Amount

$523

General + Research + Ownership

Payments

12

Total payment records

General Amount

$523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2022-11-18

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
I20221118001601IPhysician AssistantTXTBD

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
22614Fusion of additional segment of spine6821$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion3820$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment3716$0
20937Harvest of bone fragment for spine bone graft3737$0
22612Fusion of spine in lower back1616$0
View full utilization report →

Insurance plans in this area (ZIP 73120)

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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: 0840273868View full group profile
NameSpecialtyState
N E U R O S U R G E R YTX
Physician AssistantTX
Nurse PractitionerTX
N E U R O S U R G E R YTX
N E U R O S U R G E R YTX
-TX
N E U R O S U R G E R YTX
Physician AssistantVA
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find MR. AARON SHANE WASHINGTON (PA-C)'s NPI?
You can confirm MR. AARON SHANE WASHINGTON (PA-C) with NPI 1205184058; it appears in the national provider directory.
Does this profile mean MR. AARON SHANE WASHINGTON (PA-C) is currently active?
Yes — MR. AARON SHANE WASHINGTON (PA-C) appears active in the national provider directory.
Can you summarize MR. AARON SHANE WASHINGTON (PA-C)'s specialty in plain language?
Clinically, the directory lists MR. AARON SHANE WASHINGTON (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. AARON SHANE WASHINGTON (PA-C)?
The page summarizes Oklahoma City, Oklahoma for MR. AARON SHANE WASHINGTON (PA-C); expand the address list for detail.
What if Oklahoma City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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