DR. MICHAEL R BASSO (PH.D.) – Clinical Psychologist, NPI 1497751291

DR. MICHAEL R BASSO (PH.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 800 (OK). The NPI Number for DR. MICHAEL R BASSO (PH.D.) is 1497751291

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL R BASSO (PH.D.)
NPI
1497751291
Phone
(918) 631-3151
Address
Department of Psychology/University of Tulsa
Enumeration Date
27 June 2005
Last Update Date
10 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
1994 (32 years ago)
PAC ID
0547534182
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20190917000037
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
mbasso620537@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

196 CLINICAL PSYCHOLOGIST in OK

Provider Addresses for DR. MICHAEL R BASSO (PH.D.)

  • Department of Psychology/University of Tulsa

    600 South College Avenue

    Tulsa, OK 74104

    Phone: (918) 631-3151

    Fax: (918) 631-2833

    Type: Location

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

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: 2019-09-17

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
I20190917000037IClinical PsychologistMNTBD

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
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes39774$0
96116Exam of neurobehavioral status, first hour7474$0
96132Evaluation of neuropsychological test, first hour7474$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes7474$0
96133Evaluation of neuropsychological test, each additional hour1111$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. MICHAEL R BASSO (PH.D.)'s NPI?
You can confirm DR. MICHAEL R BASSO (PH.D.) with NPI 1497751291; it appears in the national provider directory.
Is DR. MICHAEL R BASSO (PH.D.)'s NPI currently valid?
The extract we use shows DR. MICHAEL R BASSO (PH.D.) as active.
Can you summarize DR. MICHAEL R BASSO (PH.D.)'s specialty in plain language?
Clinically, the directory lists DR. MICHAEL R BASSO (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. MICHAEL R BASSO (PH.D.)'s primary listing?
We display Tulsa, Oklahoma because that is what the record indicates for DR. MICHAEL R BASSO (PH.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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