DR. BRYAN ANDREW VANDOREN (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1447298120
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22 ADDICTION MEDICINE in OK
Provider Addresses for DR. BRYAN ANDREW VANDOREN (M.D.)
6130 E 81ST ST
TULSA, OK 741372125
Phone: (918) 401-1002
Fax: (918) 493-3304
Type: Mailing
1030 E Washington Ave
McAlester, OK 745014850
Phone: (918) 401-1002
Type: Location
1317 S Dewey Ave
Wagoner, OK 744677013
Phone: (918) 401-1002
Fax: (918) 493-3304
Type: Location
102 W Carl Hubbell Blvd
Meeker, OK 748559162
Phone: (405) 407-1025
Fax: (918) 493-3304
Type: Location
9320 S MINGO RD
TULSA, OK 741335710
Phone: (918) 901-9701
Fax: (918) 710-4118
Type: Mailing
East 45th Street, Stone Creek Farms, Tulsa, Tulsa County, Oklahoma, 74314, United States
TULSA, OK 741463806
Phone: (918) 742-7030
Fax: (918) 742-9958
Type: Location
West Urbana Street, Broken Arrow, Tulsa, Oklahoma, 74012, United States
STE 200
BROKEN ARROW, OK 740125997
Phone: (918) 710-4112
Fax: (918) 710-4118
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Forte Bio-Pharma LLC ($57).
Total Amount
$202
General + Research + Ownership
Payments
11
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Forte Bio-Pharma LLC | $57 |
| ABBVIE INC. | $45 |
| Medtronic, Inc. | $30 |
| Braeburn Inc. | $24 |
| Averitas Pharma Inc. | $18 |
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: 2009-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090610000598 | I | Addiction Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 632 | 224 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 268 | 161 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 223 | 132 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 179 | 179 | $0 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 133 | 66 | $0 |
Insurance plans in this area (ZIP 74137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Clinical Psychologist | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Interventional Pain Management | OK | |
| Nurse Practitioner | OK |
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