LAMONT EDWARD CAVANAGH (MD) – Sports Medicine (Family Medicine) Physician, NPI 1336111210
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 SPORTS MEDICINE in OK
Provider Addresses for LAMONT EDWARD CAVANAGH (MD)
1111 S SAINT LOUIS AVE
TULSA, OK 741205440
Phone: (918) 619-4400
Fax: (918) 619-4639
Type: Location
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731268838
Phone: (918) 619-4400
Fax: (918) 619-4639
Type: Mailing
South Darlington Avenue East, Darlington South, Tulsa, Oklahoma, 74138, United States
TULSA, OK 741357307
Phone: (918) 619-4400
Fax: (918) 619-4639
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($116).
Total Amount
$116
General + Research + Ownership
Payments
1
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $116 |
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: 2004-01-20
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 |
|---|---|---|---|---|
| I20040120000258 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 17 | $0 |
Insurance plans in this area (ZIP 74120)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | OK | 20610 | Aspiration and/or injection of large joint or joint capsule | 88 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| P S Y C H I A T R Y | OK | |
| - | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nephrology, Internal Medicine | OK | |
| Clinical Psychologist | OK | |
| - | OK | |
| Internal Medicine | OK | |
| - | OK | |
| - | OK |
Reviews
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