ELIZABETH A JETT (MD) – Diagnostic Radiology Physician, NPI 1407825102
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 DIAGNOSTIC RADIOLOGY in OK
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Provider Addresses for ELIZABETH A JETT (MD)
1122, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
ORI236
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-1515
Type: Mailing
OU Physicians, 825, Northeast 10th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States
OUPB3500
OKLAHOMA CITY, OK 731045417
Phone: (405) 271-4514
Type: Location
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: 2006-02-13
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 |
|---|---|---|---|---|
| I20060213000214 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 607 | 607 | $0 |
| 77067 | Screening mammography | 603 | 603 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 361 | 340 | $0 |
| 77066 | Diagnostic mammography of both breasts | 254 | 248 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 129 | 126 | $0 |
Insurance plans in this area (ZIP 73117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | VA | |
| General Practice | NY | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology, Interventional Radiology | NY | |
| Diagnostic Radiology | NJ |
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