KRISTIN M PECK (PA-C) – Medical Physician Assistant, NPI 1487924098
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for KRISTIN M PECK (PA-C)
8921 S MINGO RD
TULSA, OK 74133
Phone: (918) 252-8060
Fax: (918) 254-9583
Type: Mailing
1836 E 15TH ST
TULSA, OK 741044611
Phone: (918) 585-5658
Fax: (918) 585-5670
Type: Mailing
1945 VERSAILLES ST
SARASOTA, FL 342396900
Phone: (941) 367-0770
Fax: (833) 974-1480
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 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: 2023-11-15 • Largest payer in this snapshot: ITI, Inc. ($254).
Total Amount
$291
General + Research + Ownership
Payments
3
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
2023-11-15
Latest reported date
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: 2025-05-28
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 |
|---|---|---|---|---|
| I20250528000043 | I | Physician Assistant | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Internal Medicine, Rheumatology | FL | |
| Rheumatology, Internal Medicine | FL | |
| Hospitalist, Rheumatology | NM | |
| Rheumatology, Internal Medicine | FL | |
| Physician Assistant | MN | |
| R H E U M A T O L O G Y | FL | |
| R H E U M A T O L O G Y | FL | |
| Physician Assistant | IN | |
| R H E U M A T O L O G Y | FL |
Reviews
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