DR. BRYAN ANDREW BLANCK (D.P.M.) – Podiatrist, NPI 1215906276
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 PODIATRY in OK
Provider Addresses for DR. BRYAN ANDREW BLANCK (D.P.M.)
1221 ARLINGTON ST STE A
ADA, OK 748204067
Phone: (580) 559-0001
Fax: (580) 559-0002
Type: Mailing
1631 ARLINGTON ST
ADA, OK 748202639
Phone: (580) 559-0001
Fax: (580) 559-0002
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($37).
Total Amount
$88
General + Research + Ownership
Payments
5
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $37 |
| Averitas Pharma Inc. | $21 |
| Orthofix Medical, Inc. | $15 |
| TREACE MEDICAL CONCEPTS, INC. | $14 |
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: 2007-10-30
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 |
|---|---|---|---|---|
| I20071030000634 | 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 | 493 | 184 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 222 | 131 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 130 | 86 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 92 | 92 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 79 | 25 | $0 |
Insurance plans in this area (ZIP 74820)
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Provider's Procedures
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