GARRETT PARKER PERESKO – Foot & Ankle Surgery Podiatrist, NPI 1437648011

GARRETT PARKER PERESKO is a healthcare provider. based in Ponca city, Oklahoma. specializing in PODIATRY. They hold a License No. PO61185768 (WA). The NPI Number for GARRETT PARKER PERESKO is 1437648011

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
GARRETT PARKER PERESKO
NPI
1437648011
Phone
(580) 763-7026
Address
3700 HIGHPOINTE DRIVE
Enumeration Date
9 May 2018
Last Update Date
24 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604965112
Graduation Year
2018 (8 years ago)
PAC ID
3072854397
Group Practice PAC ID
6002727385
Professional Enrollment ID
I20210909003334
Address ID
WA983569323MO521XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,279 PODIATRY in PA

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Provider Addresses for GARRETT PARKER PERESKO

  • 3700 HIGHPOINTE DRIVE

    PONCA CITY, OK 74604

    Phone: (580) 763-7026

    Type: Mailing

  • Western Pennsylvania Hospital, 4800, Friendship Avenue, Bloomfield, Pittsburgh, Allegheny County, Pennsylvania, 15224, United States

    PITTSBURGH, PA 152241722

    Phone: (412) 578-5000

    Type: Location

  • PO BOX 1138

    MORTON, WA 983560019

    Phone: (360) 496-5112

    Type: Mailing

  • 531 ADAMS AVE

    MORTON, WA 983569323

    Phone: (360) 496-5145

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $16,462.

Total Amount is formed as General ($14,112) + Research ($2,350) + Ownership ($0) = $16,462.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Fuse Medical, Inc. ($8,250).

Total Amount

$16,462

General + Research + Ownership

Payments

19

Total payment records

General Amount

$14,112

General payments

Research Amount

$2,350

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-09-09

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
I20210909003334IPodiatryWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74604)

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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: 6002727385View full group profile
NameSpecialtyState
-WA
Family Practice, HospitalistWA
Certified Registered Nurse Anesthetist (Crna)OR
Internal Medicine, Cardiovascular Disease (Cardiology)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
Internal MedicineWA
Physician AssistantWA
Nurse PractitionerWA
-WA
-WA

Reviews

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Frequently asked questions

What NPI should I save for GARRETT PARKER PERESKO?
Save NPI 1437648011 if you need a stable reference for GARRETT PARKER PERESKO.
Is GARRETT PARKER PERESKO's NPI currently valid?
The extract we use shows GARRETT PARKER PERESKO as active.
What field does GARRETT PARKER PERESKO work in?
You can think of GARRETT PARKER PERESKO as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for GARRETT PARKER PERESKO?
The page summarizes Ponca City, Oklahoma for GARRETT PARKER PERESKO; expand the address list for detail.
How can I contact GARRETT PARKER PERESKO?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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