DR. KYLE WATSON PENNY (DO) – Emergency Medicine Physician, NPI 1386374544
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for DR. KYLE WATSON PENNY (DO)
1500 N Green Ave
Purcell, OK 730801642
Phone: (405) 527-6524
Type: Location
1000 N Lee Ave
Oklahoma City, OK 731021036
Phone: (405) 272-7000
Type: Location
1102 W MacArthur St
Shawnee, OK 748041743
Phone: (405) 273-2270
Type: Location
3701 E Main St
Weatherford, OK 730963309
Phone: (580) 772-5551
Type: Location
2825 Parklawn Dr
Midwest City, OK 731104201
Phone: (405) 610-4411
Type: Location
901 N PORTER AVE
NORMAN, OK 730716404
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Beckman Coulter, Inc. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Beckman Coulter, 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: 2024-08-23
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240823003262 | I | Emergency Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OK | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| Physician Assistant | CA | |
| Emergency Medicine | OK | |
| Emergency Medicine, Family Practice | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK |
Reviews
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