JENNIFER ROBIN PUTNAM (PA) – Surgical Physician Assistant, NPI 1366775611
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for JENNIFER ROBIN PUTNAM (PA)
Metro Pins, LLC, 1342, South Douglas Boulevard, Midwest City, Oklahoma County, Oklahoma, 73130, United States
SUITE A
MIDWEST CITY, OK 731305215
Phone: (405) 455-3322
Fax: (405) 455-3358
Type: Location
8, Southwest 89th Street, Oklahoma City, Oklahoma County, Oklahoma, 73139, United States
STE 100
OKLAHOMA CITY, OK 731398534
Phone: (405) 455-3322
Fax: (405) 606-4338
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $176.
Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Nalu Medical, Inc. ($149).
Total Amount
$176
General + Research + Ownership
Payments
2
Total payment records
General Amount
$176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $149 |
| SI-BONE, INC. | $26 |
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: 2012-05-21
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 |
|---|---|---|---|---|
| I20120521000586 | 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 |
|---|---|---|---|---|
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 75 | 74 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 74 | 53 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 61 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 73130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OK | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | OK | |
| Physical Medicine And Rehabilitation | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| N E U R O S U R G E R Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| N E U R O S U R G E R Y | OK | |
| Physical Medicine And Rehabilitation | OK | |
| Physician Assistant | OK |
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