DR. MARY MELISSA MORGAN (M.D.) – Procedural Dermatology Physician, NPI 1487621413
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
126 DERMATOLOGY in OK
Provider Addresses for DR. MARY MELISSA MORGAN (M.D.)
6200 W UTICA ST
BROKEN ARROW, OK 740111115
Phone: (918) 629-9889
Type: Mailing
3300 S ASPEN AVE STE A
BROKEN ARROW, OK 740127501
Phone: (918) 770-4599
Fax: (918) 770-7060
Type: Location
South Eucalyptus Avenue, Broken Arrow, Tulsa, Oklahoma, 74011, United States
SUTIE 202
BROKEN ARROW, OK 740125940
Phone: (918) 459-7546
Fax: (918) 459-7575
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $291.
Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($71).
Total Amount
$291
General + Research + Ownership
Payments
14
Total payment records
General Amount
$291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-05-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120509000304 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 276 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 219 | 169 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 130 | 89 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 108 | 85 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 87 | 66 | $0 |
Insurance plans in this area (ZIP 74011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds) | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Physician Assistant | OK | |
| D E R M A T O L O G Y | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | HI | |
| Physician Assistant | OK | |
| Physician Assistant | OK |
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