MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1295700425
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT)
8422 N 123rd East Ave
Owasso, OK 740552130
Phone: (918) 293-2140
Fax: (918) 712-7164
Type: Location
2323 S HARVARD AVE
TULSA, OK 741143301
Phone: (918) 293-2140
Fax: (918) 712-7164
Type: Location
1334 N Lansing Ave
Tulsa, OK 741065907
Phone: (918) 587-2171
Type: Location
1334 N LANSING AVE
TULSA, OK 741065907
Phone: (918) 587-2171
Type: Location
8422 N 123RD EAST AVE
OWASSO, OK 740552130
Phone: (918) 858-4353
Fax: (668) 246-2942
Type: Mailing
2323, South Harvard Avenue, Florence Park South, Tulsa, Tulsa County, Oklahoma, 74114, United States
TULSA, OK 741143301
Phone: (918) 293-2140
Fax: (918) 293-2195
Type: Mailing
1020, Forrest Avenue, Woodstock Court, Dover, Kent County, Delaware, 19904, United States
SUITE 1
DOVER, DE 19946
Phone: (302) 730-1110
Fax: (302) 734-1046
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $2,539.
Total Amount is formed as General ($2,539) + Research ($0) + Ownership ($0) = $2,539.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($481).
Total Amount
$2,539
General + Research + Ownership
Payments
97
Total payment records
General Amount
$2,539
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $481 |
| Vanda Pharmaceuticals Inc. | $447 |
| Janssen Pharmaceuticals, Inc | $254 |
| Lundbeck LLC | $217 |
| Supernus Pharmaceuticals, Inc. | $209 |
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: 2019-09-26
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 |
|---|---|---|---|---|
| I20141222002285 | I | Physician Assistant | DC | TBD |
| I20190926002825 | 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 | 43 | 22 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 34 | 18 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 33 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 74055)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Family Practice | OK | |
| Mental Health Counselor | OK | |
| Registered Dietitian Or Nutrition Professional | OK | |
| P S Y C H I A T R Y | OK | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | OK | |
| Family Practice | OK | |
| Mental Health Counselor | OK | |
| Family Practice | NM |
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