ERIC LONG (D.O.) – Anesthesiology Physician, NPI 1225090343
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
580 ANESTHESIOLOGY in OK
Provider Addresses for ERIC LONG (D.O.)
PO BOX 891661
OKLAHOMA CITY, OK 731891661
Phone: (918) 200-9450
Type: Mailing
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 731045036
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Location
INTEGRIS Southwest Medical Center, 4401, South Western Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73109, United States
OKLAHOMA CITY, OK 731093413
Phone: (405) 636-7000
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: 2004-07-12
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 |
|---|---|---|---|---|
| I20040712000388 | I | Anesthesiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73189)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | OK | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | MA | |
| Anesthesiology, Critical Care (Intensivists) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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