THERON JOSEPH BLISS (DO) – Family Medicine Physician, NPI 1538364245

THERON JOSEPH BLISS (DO) is a healthcare provider. based in Jenks, Oklahoma. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 4618 (OK). The NPI Number for THERON JOSEPH BLISS (DO) is 1538364245

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
THERON JOSEPH BLISS (DO)
NPI
1538364245
Phone
(918) 403-7144
Address
220 S ELM ST
Enumeration Date
20 June 2007
Last Update Date
22 May 2018

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9185285500
Graduation Year
2007 (19 years ago)
PAC ID
0446420459
Group Practice PAC ID
7719423250
Professional Enrollment ID
I20110831000235
Address ID
OK740335023GL550XXSXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

83 SPORTS MEDICINE in OK

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Provider Addresses for THERON JOSEPH BLISS (DO)

  • 220, South Elm Street, Jenks, Tulsa County, Oklahoma, 74037, United States

    JENKS, OK 740373701

    Phone: (918) 403-7144

    Fax: (918) 856-5561

    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 10 Open Payments records for all available years, with a total value of $352.

Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($183).

Total Amount

$352

General + Research + Ownership

Payments

10

Total payment records

General Amount

$352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2011-08-31

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
I20110831000235IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg908145$0
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg89722$0
99214Established patient office or other outpatient visit, 30-39 minutes399215$0
99213Established patient office or other outpatient visit, 20-29 minutes284186$0
20610Aspiration and/or injection of fluid from large joint198122$0
View full utilization report →

Insurance plans in this area (ZIP 74037)

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Provider's Procedures

THERON JOSEPH BLISS (DO) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK81002Urinalysis, manual test6237
FAMILY MEDICINEOK90670Pneumococcal vaccine for injection into muscle3737

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: 7719423250View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physician AssistantOK

Reviews

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Frequently asked questions

Is THERON JOSEPH BLISS (DO) listed with a National Provider Identifier?
Yes — THERON JOSEPH BLISS (DO) has NPI 1538364245 on file in the registry.
Is THERON JOSEPH BLISS (DO) still an active registrant?
THERON JOSEPH BLISS (DO) carries an active NPI according to the public dataset.
How would a patient describe THERON JOSEPH BLISS (DO)'s focus?
For THERON JOSEPH BLISS (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for THERON JOSEPH BLISS (DO)?
Travel planning: use Jenks, Oklahoma as the reference point for THERON JOSEPH BLISS (DO), then confirm.
Does THERON JOSEPH BLISS (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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