MICHAEL SHANE RICHARDSON (P.A.) – Medical Physician Assistant, NPI 1225179849
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MICHAEL SHANE RICHARDSON (P.A.)
1025 STRAKA TER
OKLAHOMA CITY, OK 731392544
Phone: (405) 632-6688
Fax: (405) 604-0708
Type: Mailing
7521 SE 15TH ST
MIDWEST CITY, OK 731105425
Phone: (405) 453-8004
Fax: (405) 561-4857
Type: Location
3000 N GRAND BLVD
OKLAHOMA CITY, OK 731071818
Phone: (405) 632-6688
Type: Mailing
317 E HIMES
NORMAN, OK 730697810
Phone: (405) 632-6688
Type: Location
1918 NE 23rd St
Oklahoma City, OK 731113328
Phone: (405) 453-8000
Fax: (405) 561-4984
Type: Location
2130 SW 59th St
Oklahoma City, OK 731197025
Phone: (403) 303-7555
Fax: (405) 561-5615
Type: Location
1025 Straka Ter
Oklahoma City, OK 731392544
Phone: (405) 632-6688
Fax: (405) 604-0708
Type: Location
11511 E 31st St
Tulsa, OK 741461908
Phone: (918) 400-7002
Fax: (539) 202-5130
Type: Location
1538 N Lewis Ave
Tulsa, OK 741102535
Phone: (918) 400-7001
Fax: (539) 202-5070
Type: Location
PO BOX 740020
ATLANTA, GA 303740020
Phone: (312) 733-9730
Fax: (405) 604-0708
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($40).
Total Amount
$74
General + Research + Ownership
Payments
4
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $40 |
| Exact Sciences Corporation | $18 |
| Abbott Laboratories | $16 |
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: 2007-05-08
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 |
|---|---|---|---|---|
| I20070508000655 | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 415 | 137 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 80 | 80 | $0 |
| G0008 | Administration of influenza virus vaccine | 54 | 53 | $0 |
| 83036 | Hemoglobin a1c level | 52 | 38 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 73139)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Internal Medicine | AL | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK |
Reviews
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