MISS KAITLYN DEANNA WHITE (PA-C) – Physician Assistant, NPI 1205306404
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 MISS KAITLYN DEANNA WHITE (PA-C)
North Meridian Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
OKLAHOMA CITY, OK 731208381
Phone: (405) 803-8020
Fax: (405) 437-2332
Type: Location
PO BOX 54333
OKLAHOMA CITY, OK 731541333
Phone: (903) 312-7170
Fax: (405) 437-2332
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 199 Open Payments records for all available years, with a total value of $4,332.
Total Amount is formed as General ($4,332) + Research ($0) + Ownership ($0) = $4,332.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($574).
Total Amount
$4,332
General + Research + Ownership
Payments
199
Total payment records
General Amount
$4,332
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $574 |
| LEO Pharma Inc. | $350 |
| ABBVIE INC. | $290 |
| PFIZER INC. | $257 |
| Regeneron Healthcare Solutions, Inc. | $234 |
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: 2019-01-02
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 |
|---|---|---|---|---|
| I20190102001180 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,448 | 206 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 610 | 418 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 308 | 249 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 203 | 170 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 201 | 167 | $0 |
Insurance plans in this area (ZIP 73120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Internal Medicine | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| U R O L O G Y | OK | |
| - | OK | |
| Family Practice | OK |
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