LARRY D LEWIS (MD) – Family Medicine Physician, NPI 1538122783

LARRY D LEWIS (MD) is a healthcare provider. based in Mcalester, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 15080 (OK). The NPI Number for LARRY D LEWIS (MD) is 1538122783

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
LARRY D LEWIS (MD)
NPI
1538122783
Phone
(918) 426-0240
Address
PO BOX 908
Enumeration Date
10 April 2006
Last Update Date
14 April 2008

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9185053200
Graduation Year
1980 (46 years ago)
PAC ID
5799786760
Group Practice PAC ID
0042513558
Professional Enrollment ID
I20100114000803
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LARRY D LEWIS (MD)

  • PO BOX 908

    MCALESTER, OK 745020908

    Phone: (918) 426-0240

    Fax: (918) 423-4051

    Type: Mailing

  • 1401, East Van Buren Avenue, McAlester, Pittsburg County, Oklahoma, 74501, United States

    MCALESTER, OK 745014245

    Phone: (918) 426-0240

    Fax: (918) 423-4051

    Type: Location

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: 2010-01-14

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
I20100114000803IFamily PracticeOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74502)

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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: 0042513558View full group profile

Reviews

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Frequently asked questions

What NPI should I save for LARRY D LEWIS (MD)?
Save NPI 1538122783 if you need a stable reference for LARRY D LEWIS (MD).
Is LARRY D LEWIS (MD)'s NPI currently valid?
The extract we use shows LARRY D LEWIS (MD) as active.
What does LARRY D LEWIS (MD) treat or focus on?
Patients typically see LARRY D LEWIS (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for LARRY D LEWIS (MD)?
We surface Mcalester, Oklahoma for LARRY D LEWIS (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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