BURLEENE MOSBURG (P.A.-C) – Physician Assistant, NPI 1265588024
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 BURLEENE MOSBURG (P.A.-C)
Coweta Medical Group, 28622, East 141st Street South, Coweta, Wagoner County, Oklahoma, 74429, United States
PO BOX 1030
COWETA, OK 744297515
Phone: (918) 486-7425
Fax: (918) 279-6884
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Exact Sciences Corporation ($65).
Total Amount
$240
General + Research + Ownership
Payments
14
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $65 |
| ABBVIE INC. | $36 |
| Abbott Laboratories | $36 |
| GlaxoSmithKline, LLC. | $24 |
| Lilly USA, LLC | $20 |
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: 2004-11-12
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 |
|---|---|---|---|---|
| I20041112000014 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 89 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 128 | 23 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 119 | 91 | $0 |
| 81003 | Automated urinalysis test | 79 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $0 |
Insurance plans in this area (ZIP 74429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Nurse Practitioner | OK |
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