MERLE BASQUEZ – Physical Therapist, NPI 1306954078

MERLE BASQUEZ is a healthcare provider. based in Broken arrow, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for MERLE BASQUEZ is 1306954078

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MERLE BASQUEZ
NPI
1306954078
Phone
(918) 449-0503
Address
21092 E 102ND ST
Enumeration Date
25 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5392350170
Graduation Year
1993 (33 years ago)
PAC ID
8123038700
Group Practice PAC ID
9537076401
Professional Enrollment ID
I20130201000392
Address ID
OK741372294TU8110XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

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Provider Addresses for MERLE BASQUEZ

  • East 102nd Street, Elmwood Estates, Broken Arrow, Wagoner County, Oklahoma, 74014, United States

    BROKEN ARROW, OK 740143617

    Phone: (918) 449-0503

    Type: Mailing

  • West Okmulgee Street, Taft, Muskogee County, Oklahoma, 74463, United States

    MUSKOGEE, OK 744015069

    Phone: (918) 683-7731

    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: 2013-02-01

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
I20130201000392IPhysical Therapist In Private PracticeOKTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14923$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11224$0
97530Therapy procedure using functional activities10320$0
97140Therapy procedure using manual technique, each 15 minutes9318$0
97150Therapy procedure in a group setting6715$0
View full utilization report →

Insurance plans in this area (ZIP 74014)

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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: 9537076401View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryTN
Family PracticeVA
Internal MedicineTN
Physical Medicine And RehabilitationTN
Internal MedicineNC
Internal MedicineSC
-CA
R H E U M A T O L O G YGA
Orthopedic SurgeryTN
Family PracticeTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MERLE BASQUEZ?
MERLE BASQUEZ — NPI 1306954078 — is the standard way to identify this listing.
Is MERLE BASQUEZ listed as active for patients and plans?
The listing shows MERLE BASQUEZ as active in the NPI system.
What is MERLE BASQUEZ's specialty?
The listing groups MERLE BASQUEZ with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MERLE BASQUEZ?
MERLE BASQUEZ's geographic hint is Broken Arrow, Oklahoma in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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