KYLE MOCK (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1265876494

KYLE MOCK (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 30009 (OK). The NPI Number for KYLE MOCK (M.D.) is 1265876494

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KYLE MOCK (M.D.)
NPI
1265876494
Phone
Not provided
Address
608 NW 9TH ST
Enumeration Date
18 April 2013
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056445398
Graduation Year
2013 (13 years ago)
PAC ID
8921422312
Group Practice PAC ID
2365408465
Professional Enrollment ID
I20200717001876
Address ID
OK731093413OK4421XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

480 OBSTETRICS/GYNECOLOGY in OK

Provider Addresses for KYLE MOCK (M.D.)

  • 608 NW 9TH ST

    STE 1100

    OKLAHOMA CITY, OK 731021015

    Phone:

    Type: Mailing

  • 800 STANTON L YOUNG BLVD STE 2000

    OKLAHOMA CITY, OK 731045018

    Phone: (405) 271-8469

    Type: Location

  • 4200 S DOUGLAS AVE STE 224

    OKLAHOMA CITY, OK 731093223

    Phone: (405) 644-5447

    Fax: (405) 644-5449

    Type: Location

  • 3001 QUAIL SPRINGS PKWY FL 5

    OKLAHOMA CITY, OK 731342640

    Phone: (405) 644-5447

    Fax: (405) 644-5449

    Type: Mailing

  • 4200 S DOUGLAS AVE STE 200B

    OKLAHOMA CITY, OK 731093225

    Phone: (405) 644-5447

    Fax: (405) 644-5449

    Type: Location

  • 5300 N INDEPENDENCE AVE STE 280

    OKLAHOMA CITY, OK 731125555

    Phone: (405) 644-5447

    Fax: (405) 644-5449

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $504.

Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Medtronic, Inc. ($125).

Total Amount

$504

General + Research + Ownership

Payments

27

Total payment records

General Amount

$504

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2020-07-17

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
I20200717001876IObstetrics/GynecologyOKTBD

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
81003Automated urinalysis test206146$0
51701Insertion of temporary bladder tube170148$0
99214Established patient office or other outpatient visit, 30-39 minutes13894$0
99204New patient office or other outpatient visit, 45-59 minutes123123$0
99213Established patient office or other outpatient visit, 20-29 minutes6145$0
View full utilization report →

Insurance plans in this area (ZIP 73102)

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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: 2365408465View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
-OK
Physician AssistantOK
Orthopedic SurgeryOK
-OK
Family Practice, General Surgery, Osteopathic Manipulative MedicineOK
-OK
H O S P I T A L I S TOK
H E M A T O L O G Y/ O N C O L O G YOK
-OK

Reviews

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Frequently asked questions

What is the registry number for KYLE MOCK (M.D.)?
The registry entry for KYLE MOCK (M.D.) shows NPI 1265876494.
Is KYLE MOCK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KYLE MOCK (M.D.) as active.
What does the directory say KYLE MOCK (M.D.) does?
Insurance directories may phrase it differently, but here KYLE MOCK (M.D.) maps to Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KYLE MOCK (M.D.)?
KYLE MOCK (M.D.) is associated with Oklahoma City, Oklahoma in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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