MS. SOPHIA DELISE HACKNEY (PA-C) – Physician Assistant, NPI 1265096424
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for MS. SOPHIA DELISE HACKNEY (PA-C)
12112 S 83RD EAST AVE APT 422
BIXBY, OK 740083344
Phone: (405) 308-5490
Type: Mailing
106, South Memorial Drive, Tulsa, Tulsa County, Oklahoma, 74112, United States
TULSA, OK 741334311
Phone: (918) 579-4200
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: 2023-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220103000206 | I | Physician Assistant | DE | TBD |
| I20231204001246 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 85 | 23 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 59 | 33 | $0 |
| 74230 | Imaging for evaluation of swallowing function | 45 | 42 | $0 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 36 | 36 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 29 | 27 | $0 |
Insurance plans in this area (ZIP 74008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | CO | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| Diagnostic Radiology | CO | |
| Interventional Radiology | CA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | FL | |
| Interventional Radiology, Diagnostic Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | OR |
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