MR. JOHN NELSON III LAZENBY (MHS, PA-C) – Surgical Physician Assistant, NPI 1336779206
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MR. JOHN NELSON III LAZENBY (MHS, PA-C)
6708 TREVI CT
OKLAHOMA CITY, OK 731162604
Phone: (580) 695-2958
Type: Mailing
4 E CLARK BASS BLVD STE 302
MCALESTER, OK 745014269
Phone: (918) 426-4306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $154.
Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Stryker Corporation ($75).
Total Amount
$154
General + Research + Ownership
Payments
7
Total payment records
General Amount
$154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-08-31
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 |
|---|---|---|---|---|
| I20200831002694 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 466 | 61 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 86 | 63 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 26 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 73116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Sports Medicine | OK |
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