JEFFRY MICHAEL BRYEN (PA) – Physician Assistant, NPI 1265491237
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for JEFFRY MICHAEL BRYEN (PA)
PO BOX 250
ALLEN, OK 748250250
Phone: (580) 857-1300
Fax: (580) 857-1302
Type: Mailing
PO BOX 113
WANETTE, OK 748780113
Phone: (405) 694-6950
Type: Mailing
1701 S DOUGLAS BLVD
MIDWEST CITY, OK 731306221
Phone: (405) 302-8999
Fax: (405) 733-9360
Type: Location
200, North Easton Street, Allen, Pontotoc County, Oklahoma, 74825, United States
ALLEN, OK 748250250
Phone: (580) 857-1300
Fax: (580) 857-1302
Type: Location
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 $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PFIZER INC. ($18).
Total Amount
$68
General + Research + Ownership
Payments
4
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $18 |
| Bayer Healthcare Pharmaceuticals Inc. | $18 |
| Hologic Sales and Service, LLC | $17 |
| Lilly USA, LLC | $15 |
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: 2003-11-19
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 |
|---|---|---|---|---|
| I20031119000517 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 364 | 39 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 86 | 85 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 68 | 34 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 47 | 44 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 36 | 36 | $0 |
Insurance plans in this area (ZIP 74825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | TX | |
| General Practice | TX | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Emergency Medicine | TX | |
| Nurse Practitioner | MD | |
| Family Practice | OK |
Reviews
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