ARDRY LANCE YARBROUGH (MD) – Family Medicine Physician, NPI 1386669745

ARDRY LANCE YARBROUGH (MD) is a healthcare provider. based in Atoka, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 22046 (OK). The NPI Number for ARDRY LANCE YARBROUGH (MD) is 1386669745

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ARDRY LANCE YARBROUGH (MD)
NPI
1386669745
Phone
(580) 889-4746
Address
1504 S VIRGINIA AVE
Enumeration Date
13 July 2006
Last Update Date
2 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9038215108
Graduation Year
1997 (29 years ago)
PAC ID
5395646897
Group Practice PAC ID
3476898040
Professional Enrollment ID
I20040116001081
Address ID
OK745251701AT1590XRDXX400
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

1,775 FAMILY PRACTICE in OK

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Provider Addresses for ARDRY LANCE YARBROUGH (MD)

  • 1504, South Virginia Avenue, Atoka, Atoka County, Oklahoma, 74525, United States

    ATOKA, OK 745253246

    Phone: (580) 889-4746

    Fax: (580) 889-4735

    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: 2004-01-16

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
I20040116001081IFamily PracticeOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes928199$0
96372Injection of drug or substance under skin or into muscle9156$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9061$0
J1040Injection, methylprednisolone acetate, 80 mg8061$0
87804Detection test by immunoassay with direct visual observation for influenza virus2217$0
View full utilization report →

Insurance plans in this area (ZIP 74525)

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Provider's Procedures

ARDRY LANCE YARBROUGH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK85610Blood test, clotting time16219

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: 3476898040View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerOK
Physician AssistantOK
Physical Therapist In Private PracticeAL
Nurse PractitionerTX
Physical Therapist In Private PracticeOK
Nurse PractitionerTX
Physical Therapist In Private PracticeOK
Nurse PractitionerKS

Reviews

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Frequently asked questions

Is ARDRY LANCE YARBROUGH (MD) listed with a National Provider Identifier?
Yes — ARDRY LANCE YARBROUGH (MD) has NPI 1386669745 on file in the registry.
Is there an active status for ARDRY LANCE YARBROUGH (MD)?
For scheduling context, ARDRY LANCE YARBROUGH (MD) is shown as active in the registry.
What expertise is attributed to ARDRY LANCE YARBROUGH (MD)?
ARDRY LANCE YARBROUGH (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ARDRY LANCE YARBROUGH (MD)?
Directory geography for ARDRY LANCE YARBROUGH (MD) centers on Atoka, Oklahoma.
When was this NPI issued?
Enumeration for ARDRY LANCE YARBROUGH (MD) is noted as July 13, 2006 where the registry provides it.

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