KEVIN BEAVER – Physician Assistant, NPI 1528426442

KEVIN BEAVER is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2637 (OK). The NPI Number for KEVIN BEAVER is 1528426442

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN BEAVER
NPI
1528426442
Phone
(405) 550-3280
Address
9417 N Council Rd
Enumeration Date
5 February 2016
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5806237211
Graduation Year
2016 (10 years ago)
PAC ID
9830477223
Group Practice PAC ID
6305002759
Professional Enrollment ID
I20161107001375
Address ID
OK737722845WA500XXBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for KEVIN BEAVER

  • 9417 N Council Rd

    Oklahoma City, OK 731626228

    Phone: (405) 550-3280

    Type: Location

  • 1323 W 6th Ave

    Stillwater, OK 740744306

    Phone: (405) 742-5454

    Type: Location

  • 1201 Health Center Pkwy

    Yukon, OK 730996381

    Phone: (405) 717-6800

    Type: Location

  • 5501 N Portland Ave

    Oklahoma City, OK 731122074

    Phone: (405) 604-6000

    Type: Location

  • 4801 SE 15th St

    Del City, OK 731153918

    Phone: (405) 500-3380

    Type: Location

  • 1001 E 18th St

    Grove, OK 743442907

    Phone: (918) 786-2243

    Type: Location

  • 300 S Rockwell Ave

    Oklahoma City, OK 731282222

    Phone: (405) 951-2277

    Type: Location

  • 3391 S I 35 Service Rd

    Moore, OK 731603191

    Phone: (405) 500-3330

    Type: Location

  • 3300 NW Expwy

    Oklahoma City, OK 731124418

    Phone: (405) 949-3011

    Type: Location

  • 200 2nd Ave SW

    Miami, OK 743546830

    Phone: (918) 542-6611

    Type: Location

  • 4801 Integris Pkwy

    Edmond, OK 730348864

    Phone: (405) 713-4565

    Type: Location

  • 710 S 13th St

    Blackwell, OK 746313700

    Phone: (580) 238-4743

    Type: Location

  • 501 N 14th St

    Perry, OK 730775021

    Phone: (580) 336-3541

    Type: Location

  • Mercy Hospital Ada, 430, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States

    ADA, OK 748204610

    Phone: (580) 421-1127

    Fax: (580) 436-6674

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $394.

Total Amount is formed as General ($394) + Research ($0) + Ownership ($0) = $394.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($147).

Total Amount

$394

General + Research + Ownership

Payments

15

Total payment records

General Amount

$394

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

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: 2016-11-07

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
I20161107001375IPhysician AssistantOKTBD

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
87400Detection test by immunoassay technique for influenza virus6030$0
99214Established patient office or other outpatient visit, 30-39 minutes5655$0
99285Emergency department visit with high level of medical decision making4444$0
G0008Administration of influenza virus vaccine2424$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 73162)

Loading plans...

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: 6305002759View full group profile
NameSpecialtyState
Physician AssistantOK
Physician AssistantOK
Nurse PractitionerOK
-OK
Physician AssistantOK
Nurse PractitionerOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does KEVIN BEAVER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KEVIN BEAVER uses 1528426442.
Is KEVIN BEAVER still practicing?
KEVIN BEAVER is currently listed as active in the public NPI registry.
What taxonomy line describes KEVIN BEAVER?
For research purposes, treat KEVIN BEAVER as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is KEVIN BEAVER based?
KEVIN BEAVER is tied to Oklahoma City, Oklahoma in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

SUSAN D WORSHAM (PA)

Physician Assistant
North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States of America
NPI: 1245233113

MR. ROGER D HELLWEGE (PA-C)

Medical Physician Assistant
North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
NPI: 1295738110

MICHAEL A THAYER (PA)

Physician Assistant
Dayco Products, 4500, South Garnett Road, Tulsa, Tulsa County, Oklahoma, 74146, United States of America
NPI: 1558364422

JEFFREY D MARTENS (PA)

Physician Assistant
Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
NPI: 1659374049

GREGORY W DINWIDDIE (PAC)

Physician Assistant
Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
NPI: 1578567848

KENDALL LEIGH PHILLIPS (PA)

Physician Assistant
North Lee Avenue, Midtown Oklahoma City, Oklahoma City, Oklahoma County, Oklahoma, 73103, United States
NPI: 1306840327

ANNETTE WOODALL (PAC)

Physician Assistant
Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
NPI: 1578567590

LARRY L WALTHER (P.A.)

Physician Assistant
5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
NPI: 1609871987