DR. BROOKE KELLEY STOUGH (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1376794776
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 PODIATRY in OK
Provider Addresses for DR. BROOKE KELLEY STOUGH (D.P.M.)
1717 N 4th St Ste 102
Ponca City, OK 746012749
Phone: (580) 749-4729
Type: Location
PO BOX 3046
MALVERN, PA 193550746
Phone: (580) 249-3929
Type: Mailing
314, East Owen K Garriott Road, Enid, Garfield County, Oklahoma, 73701, United States
ENID, OK 737015712
Phone: (580) 249-3929
Fax: (580) 234-3301
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $444.
Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Medtronic, Inc. ($279).
Total Amount
$444
General + Research + Ownership
Payments
3
Total payment records
General Amount
$444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $279 |
| TRICE MEDICAL, INC. | $165 |
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: 2012-08-22
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 |
|---|---|---|---|---|
| I20120822000506 | I | Podiatry | 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 | 1,103 | 434 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 846 | 359 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 143 | 143 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 132 | 71 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 84 | 25 | $0 |
Insurance plans in this area (ZIP 74601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | OK | 11042 | Removal of skin and tissue first 20 sq cm or less | 61 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OK | |
| Family Practice | PA | |
| Nurse Practitioner | OK | |
| Internal Medicine, Endocrinology | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OK | |
| General Surgery | OK | |
| Cardiovascular Disease (Cardiology) | OK | |
| Family Practice | OK |
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