AUTUM MICHOLE CALDWELL (P.A. - C) – Physician Assistant, NPI 1396093647
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for AUTUM MICHOLE CALDWELL (P.A. - C)
6565 S YALE AVE
SUITE 503
TULSA, OK 741368327
Phone: (918) 494-8333
Fax: (918) 494-8334
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)
CMS reports 170 Open Payments records for all available years, with a total value of $3,810.
Total Amount is formed as General ($3,810) + Research ($0) + Ownership ($0) = $3,810.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($534).
Total Amount
$3,810
General + Research + Ownership
Payments
170
Total payment records
General Amount
$3,810
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $534 |
| E.R. Squibb & Sons, L.L.C. | $482 |
| Lilly USA, LLC | $268 |
| Regeneron Healthcare Solutions, Inc. | $220 |
| PFIZER INC. | $198 |
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: 2015-05-07
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 |
|---|---|---|---|---|
| I20150507002019 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 417 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 219 | 165 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 213 | 175 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 148 | 111 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 128 | 77 | $0 |
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds) | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Physician Assistant | OK | |
| D E R M A T O L O G Y | OK | |
| Physician Assistant | OK | |
| Physician Assistant | HI | |
| D E R M A T O L O G Y | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK |
Reviews
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