MICHAEL MARVIN (M.D.) – Obstetrics & Gynecology Physician, NPI 1366483000

MICHAEL MARVIN (M.D.) is a healthcare provider. based in Ada, Oklahoma. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. R3882 (AR). The NPI Number for MICHAEL MARVIN (M.D.) is 1366483000

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL MARVIN (M.D.)
NPI
1366483000
Phone
(580) 421-4570
Address
1921 STONECIPHER BLVD
Enumeration Date
10 June 2006
Last Update Date
22 September 2011

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9185677000
Graduation Year
1984 (42 years ago)
PAC ID
3870544612
Group Practice PAC ID
1759294838
Professional Enrollment ID
I20100219000450
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL MARVIN (M.D.)

  • Chickasaw Nation Medical Center, 1921, Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States

    ADA, OK 74820

    Phone: (580) 421-4570

    Fax: (580) 421-6283

    Mailing address matches the actual address.

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: 2010-02-19

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
I20100219000450IObstetrics/GynecologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 74820)

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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: 1759294838View full group profile
NameSpecialtyState
-TX
-OK
Diagnostic RadiologyOK
Nurse PractitionerOK
N E U R O L O G YAR
E N D O C R I N O L O G YAR
Mental Health CounselorOK
O P T O M E T R YOK
-OK
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyOK

Reviews

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Frequently asked questions

Where can patients find MICHAEL MARVIN (M.D.)'s NPI?
You can confirm MICHAEL MARVIN (M.D.) with NPI 1366483000; it appears in the national provider directory.
Is MICHAEL MARVIN (M.D.) active in the national directory?
MICHAEL MARVIN (M.D.)'s public NPI profile is in an active state.
What kind of provider is MICHAEL MARVIN (M.D.)?
The page reflects Obstetrics & Gynecology Physician for MICHAEL MARVIN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for MICHAEL MARVIN (M.D.)?
We surface Ada, Oklahoma for MICHAEL MARVIN (M.D.) based on available NPPES addresses.
What if Ada, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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