Unknown Individual – Otolaryngology Physician, NPI 1528065331
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5020, East 68th Street, Richmond Hills, Tulsa, Tulsa County, Oklahoma, 74136, United States
TULSA, OK 741363307
Phone: (918) 492-3636
Fax: (918) 494-8915
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2023-06-29 • Largest payer in this snapshot: Acclarent, Inc ($125).
Total Amount
$175
General + Research + Ownership
Payments
4
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acclarent, Inc | $125 |
| ALK-Abello, Inc | $18 |
| GlaxoSmithKline, LLC. | $17 |
| Optinose US, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 438 | 230 | $0 |
| 69210 | Removal of impacted ear wax | 122 | 86 | $0 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 65 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
| 92504 | Exam of ear using a microscope | 22 | 13 | $0 |
Insurance plans in this area (ZIP 74136)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | OK | 92567 | Eardrum testing using ear probe | 85 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | OK | |
| Qualified Audiologist | OK | |
| Physician Assistant | OK | |
| O T O L A R Y N G O L O G Y | TX | |
| - | OK | |
| - | OK | |
| - | OK | |
| Qualified Audiologist | OK | |
| Qualified Audiologist | OK | |
| Nurse Practitioner | OK |
Reviews
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