ZACHARY T EDENS (PA-C) – Physician Assistant, NPI 1235604984

ZACHARY T EDENS (PA-C) is a healthcare provider. based in Stillwater, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2987 (OK). The NPI Number for ZACHARY T EDENS (PA-C) is 1235604984

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY T EDENS (PA-C)
NPI
1235604984
Phone
(405) 385-0029
Address
1909 W 6TH AVE STE B
Enumeration Date
9 October 2018
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4054274945
Graduation Year
2018 (8 years ago)
PAC ID
5698011765
Group Practice PAC ID
3173972627
Professional Enrollment ID
I20190110000515
Address ID
OK730134069ED3224XBROA301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for ZACHARY T EDENS (PA-C)

  • West 6th Avenue, Stillwater, Payne County, Oklahoma, 74704, United States

    STILLWATER, OK 740744204

    Phone: (405) 385-0029

    Fax: (405) 385-0079

    Type: Mailing

  • 3001 QUAIL SPRINGS PKWY FL 5

    OKLAHOMA CITY, OK 731342640

    Phone: (405) 427-4948

    Fax: (405) 951-8849

    Type: Mailing

  • 1820 S DIVISION ST

    GUTHRIE, OK 730446033

    Phone: (405) 427-4948

    Fax: (405) 951-8849

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

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: 2019-01-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190110000515IPhysician AssistantOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg17622$0
J0696Injection, ceftriaxone sodium, per 250 mg12829$0
99214Established patient office or other outpatient visit, 30-39 minutes10393$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8822$0
96372Injection of drug or substance under skin or into muscle6049$0
View full utilization report →

Insurance plans in this area (ZIP 74074)

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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: 3173972627View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerMT
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check ZACHARY T EDENS (PA-C) using NPI 1235604984?
NPI 1235604984 belongs to ZACHARY T EDENS (PA-C); compare other details if you need extra assurance.
Would ZACHARY T EDENS (PA-C) appear as active to a payer?
You can treat ZACHARY T EDENS (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ZACHARY T EDENS (PA-C)?
At a glance, ZACHARY T EDENS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with ZACHARY T EDENS (PA-C)?
Directory geography for ZACHARY T EDENS (PA-C) centers on Stillwater, Oklahoma.
When was this NPI issued?
Enumeration for ZACHARY T EDENS (PA-C) is noted as October 9, 2018 where the registry provides it.

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