WESTON ZICKGRAF – Diagnostic Radiology Physician, NPI 1346877172

WESTON ZICKGRAF is a healthcare provider. based in Tulsa, Oklahoma. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 3071069 (ID). The NPI Number for WESTON ZICKGRAF is 1346877172

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
WESTON ZICKGRAF
NPI
1346877172
Phone
(918) 582-1972
Address
1111 W 17TH ST
Enumeration Date
23 March 2020
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
4052576282
Graduation Year
2020 (6 years ago)
PAC ID
3476069220
Group Practice PAC ID
7517911415
Professional Enrollment ID
I20250719000173
Address ID
OK748844021WE36640270X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

384 DIAGNOSTIC RADIOLOGY in OK

Provider Addresses for WESTON ZICKGRAF

  • 1111 W 17TH ST

    TULSA, OK 741071886

    Phone: (918) 582-1972

    Type: Mailing

  • 4500 S GARNETT RD STE 112

    TULSA, OK 741465201

    Phone: (918) 935-3559

    Type: Mailing

  • 744 W 9TH ST

    TULSA, OK 741279907

    Phone: (918) 599-1000

    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: 2025-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20250719000173IDiagnostic RadiologyTXTBD
I20250801001769IDiagnostic RadiologyIDTBD
I20250813003157IDiagnostic RadiologyOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74107)

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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: 7517911415View full group profile
NameSpecialtyState
Diagnostic RadiologyOK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK
-OK
Mental Health CounselorOK
Physician AssistantOK
Diagnostic RadiologyMN
Diagnostic RadiologyOK
Orthopedic SurgeryOK
Nephrology, Internal Medicine, NeurologyOK
Family PracticeOK

Reviews

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Frequently asked questions

What number should I use to identify WESTON ZICKGRAF for billing?
Administrative and clinical systems typically use NPI 1346877172 for WESTON ZICKGRAF.
Should I treat WESTON ZICKGRAF as an active provider?
Patients and plans typically see WESTON ZICKGRAF as active in the national extract.
What type of care does WESTON ZICKGRAF provide?
WESTON ZICKGRAF's profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to WESTON ZICKGRAF?
The directory associates WESTON ZICKGRAF with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I export WESTON ZICKGRAF's record?
You can download the official NPPES record; we summarize key fields for readability.

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