DR. JEFFERY RANDALL PRUITT (MD) – Hospitalist Physician, NPI 1497803860

DR. JEFFERY RANDALL PRUITT (MD) is a healthcare provider. based in Edmond, Oklahoma. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 23454 (OK). The NPI Number for DR. JEFFERY RANDALL PRUITT (MD) is 1497803860

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFERY RANDALL PRUITT (MD)
NPI
1497803860
Phone
(405) 359-5370
Address
1 S BRYANT AVE
Enumeration Date
8 January 2007
Last Update Date
29 June 2015

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4057554290
Graduation Year
2003 (23 years ago)
PAC ID
2668579277
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20070516000143
Address ID
OK731352607OK5200XRDXX618
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

395 HOSPITALIST in OK

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Provider Addresses for DR. JEFFERY RANDALL PRUITT (MD)

  • OU Medical Center, 1, South Bryant Avenue, Edmond, Oklahoma County, Oklahoma, 73034, United States

    EDMOND, OK 730346309

    Phone: (405) 359-5370

    Fax: (405) 359-5357

    Type: Mailing

  • South Bryant Avenue, Edmond, Oklahoma County, Oklahoma, 73013, United States

    EDMOND, OK 730346309

    Phone: (405) 359-5370

    Fax: (405) 359-5357

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2023-10-27 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($55).

Total Amount

$118

General + Research + Ownership

Payments

5

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-27

Latest reported date

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: 2007-05-16

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
I20070516000143IInternal MedicineOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13874$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes114112$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10099$0
99239Hospital discharge day management, more than 30 minutes5050$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 73034)

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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: 1153468921View full group profile

Reviews

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Frequently asked questions

How do I look up DR. JEFFERY RANDALL PRUITT (MD) by NPI?
Use NPI 1497803860 when you need to reference DR. JEFFERY RANDALL PRUITT (MD) in forms, claims, or directories.
Is DR. JEFFERY RANDALL PRUITT (MD) active in the national directory?
DR. JEFFERY RANDALL PRUITT (MD)'s public NPI profile is in an active state.
Does DR. JEFFERY RANDALL PRUITT (MD) list a primary specialty?
If you are matching referrals, note Hospitalist Physician for DR. JEFFERY RANDALL PRUITT (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JEFFERY RANDALL PRUITT (MD)?
The snapshot lists Edmond, Oklahoma for DR. JEFFERY RANDALL PRUITT (MD); download NPPES for the complete set.
How can I contact DR. JEFFERY RANDALL PRUITT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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