MARK ALAN SHEAMAN (PAC) – Physician Assistant, NPI 1417911181

MARK ALAN SHEAMAN (PAC) is a healthcare provider. based in Ardmore, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA484 (OK). The NPI Number for MARK ALAN SHEAMAN (PAC) is 1417911181

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALAN SHEAMAN (PAC)
NPI
1417911181
Phone
(580) 223-4795
Address
2002 12TH AVE NW
Enumeration Date
12 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052852994
Graduation Year
1984 (42 years ago)
PAC ID
1951438910
Group Practice PAC ID
1052610524
Professional Enrollment ID
I20100820000229
Address ID
OK730347375ED941XXRDXX647
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for MARK ALAN SHEAMAN (PAC)

  • 2002, 12th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States

    SUITE B

    ARDMORE, OK 734011206

    Phone: (580) 223-4795

    Fax: (580) 223-5184

    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: 2010-08-20

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
I20100820000229IPhysician 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 mg2,163195$0
99213Established patient office or other outpatient visit, 20-29 minutes491246$0
J1885Injection, ketorolac tromethamine, per 15 mg28057$0
20610Aspiration and/or injection of fluid from large joint264171$0
99214Established patient office or other outpatient visit, 30-39 minutes165112$0
View full utilization report →

Insurance plans in this area (ZIP 73401)

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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: 1052610524View full group profile
NameSpecialtyState
Physician AssistantOK
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

Where can patients find MARK ALAN SHEAMAN (PAC)'s NPI?
You can confirm MARK ALAN SHEAMAN (PAC) with NPI 1417911181; it appears in the national provider directory.
Is MARK ALAN SHEAMAN (PAC)'s NPI currently valid?
The extract we use shows MARK ALAN SHEAMAN (PAC) as active.
What kind of provider is MARK ALAN SHEAMAN (PAC)?
The page reflects Physician Assistant for MARK ALAN SHEAMAN (PAC). Clinical services aligned with this taxonomy classification.
Does MARK ALAN SHEAMAN (PAC) practice in Oklahoma?
You will see Ardmore, Oklahoma on file for MARK ALAN SHEAMAN (PAC) alongside any extra practice locations.
What if Ardmore, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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