DR. KAYLA LAKIN-SOUTHERN (DO) – Family Medicine Physician, NPI 1205815537

DR. KAYLA LAKIN-SOUTHERN (DO) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials DO. They hold a License No. 2306 (OK). The NPI Number for DR. KAYLA LAKIN-SOUTHERN (DO) is 1205815537

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAYLA LAKIN-SOUTHERN (DO)
NPI
1205815537
Phone
(918) 521-3688
Address
4209 S REDWOOD AVE
Enumeration Date
13 January 2006
Last Update Date
16 October 2019

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6232073000
Graduation Year
1982 (44 years ago)
PAC ID
6709840168
Group Practice PAC ID
2264593474
Professional Enrollment ID
I20240126004016
Address ID
AZ853383007GO14200WAYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for DR. KAYLA LAKIN-SOUTHERN (DO)

  • 4209, South Redwood Avenue, The Reserve at Birchwood, Broken Arrow, Tulsa, Oklahoma, 74011, United States

    BROKEN ARROW, OK 740111473

    Phone: (918) 521-3688

    Type: Mailing

  • Southwestern Regional Medical Center, 10109, East 79th Street, The Reserve Villages of Highland Park, Tulsa, Tulsa County, Oklahoma, 74133, United States

    TULSA, OK 741334564

    Phone: (918) 521-3688

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($41).

Total Amount

$167

General + Research + Ownership

Payments

8

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041116000085IFamily PracticeOKTBD
I20240126004016IFamily PracticeAZTBD

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
99283Emergency department visit with low level of medical decision making2424$0
99282Emergency department visit with straightforward medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 74011)

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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: 2264593474View full group profile
NameSpecialtyState
Physician AssistantAZ
Internal MedicineCA
Physician AssistantAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Physician AssistantAZ
Radiation OncologyCA
P A T H O L O G YUT
P A T H O L O G YIL
Medical OncologyOH

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KAYLA LAKIN-SOUTHERN (DO)?
NPI 1205815537 is assigned to DR. KAYLA LAKIN-SOUTHERN (DO) under the national enumeration system.
Is DR. KAYLA LAKIN-SOUTHERN (DO)'s NPI currently valid?
The extract we use shows DR. KAYLA LAKIN-SOUTHERN (DO) as active.
What kind of provider is DR. KAYLA LAKIN-SOUTHERN (DO)?
The page reflects Family Medicine Physician for DR. KAYLA LAKIN-SOUTHERN (DO). Clinical services aligned with this taxonomy classification.
Where is DR. KAYLA LAKIN-SOUTHERN (DO)'s primary listing?
We display Broken Arrow, Oklahoma because that is what the record indicates for DR. KAYLA LAKIN-SOUTHERN (DO).
Is DR. KAYLA LAKIN-SOUTHERN (DO) a real provider?
This page reflects official NPPES data for NPI 1205815537. Always confirm identity and privileges with the practice and licensing boards.

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