MARK A EVANS (PA-C) – General Practice Physician, NPI 1205928983
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MARK A EVANS (PA-C)
PO BOX 476
GRANITE, OK 73547
Phone: (580) 872-4362
Fax: (877) 785-6691
Type: Mailing
Granite, Gravel Hill, Richmond, Richmond City, Virginia, 23225, United States
P.O. BOX 243
GRANITE, OK 73547
Phone: (580) 535-4598
Type: Mailing
417 N MAIN
GRAINTE, OK 73547
Phone: (580) 872-4362
Fax: (877) 785-6691
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: 2004-05-26
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 |
|---|---|---|---|---|
| I20040526001599 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 290 | 94 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 136 | 26 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 134 | 84 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 108 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 93 | 93 | $0 |
Insurance plans in this area (ZIP 73547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Diagnostic Radiology | OK | |
| Family Practice, Emergency Medicine | OK | |
| Family Practice | OK | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | KS |
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