AUSTIN KURT EDERER – Physician Assistant, NPI 1417467762

AUSTIN KURT EDERER is a healthcare provider. based in Norman, Oklahoma. specializing in PHYSICIAN ASSISTANT. The NPI Number for AUSTIN KURT EDERER is 1417467762

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN KURT EDERER
NPI
1417467762
Phone
(405) 360-6764
Address
3400 W TECUMSEH RD STE 101
Enumeration Date
1 October 2017
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
3375802770
Group Practice PAC ID
9830526615
Professional Enrollment ID
I20180110001086
Address ID
OK730721810NO3400XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for AUSTIN KURT EDERER

  • 3400 W TECUMSEH RD STE 101

    NORMAN, OK 730721810

    Phone: (405) 360-6764

    Fax: (405) 360-6769

    Type: Mailing

  • 2601, Fawn Lily Road, Oklahoma City, Canadian County, Oklahoma, 73128, United States

    OKLAHOMA CITY, OK 731281001

    Phone: (405) 227-5543

    Type: Mailing

  • 205, Academy Road, Guthrie, Logan County, Oklahoma, 73044, United States

    GUTHRIE, OK 730448727

    Phone: (405) 282-9449

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Amgen Inc. ($125).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$125
MEDACTA USA, INC.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2018-01-10

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
I20180110001086IPhysician AssistantOKTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg32020$0
20610Aspiration and/or injection of fluid from large joint5825$0
99213Established patient office or other outpatient visit, 20-29 minutes5429$0
99214Established patient office or other outpatient visit, 30-39 minutes3124$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 73072)

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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: 9830526615View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Sports MedicineOK
Physician AssistantOK
Orthopedic SurgeryOK
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK

Reviews

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Frequently asked questions

How do I look up AUSTIN KURT EDERER by NPI?
Use NPI 1417467762 when you need to reference AUSTIN KURT EDERER in forms, claims, or directories.
Is AUSTIN KURT EDERER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does AUSTIN KURT EDERER list a primary specialty?
If you are matching referrals, note Physician Assistant for AUSTIN KURT EDERER. Clinical services aligned with this taxonomy classification.
Does AUSTIN KURT EDERER practice in Oklahoma?
You will see Norman, Oklahoma on file for AUSTIN KURT EDERER alongside any extra practice locations.
What if Norman, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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