BENSON OGLESBY – Student in an Organized Health Care Education/Training Program, NPI 1538788047

BENSON OGLESBY is a healthcare provider. based in Tulsa, Oklahoma. specializing in ANESTHESIOLOGY. The NPI Number for BENSON OGLESBY is 1538788047

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BENSON OGLESBY
NPI
1538788047
Phone
(918) 409-5339
Address
9528 S 87TH EAST AVE
Enumeration Date
14 April 2020
Last Update Date
14 April 2020

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9185991000
Graduation Year
2020 (6 years ago)
PAC ID
4284175373
Group Practice PAC ID
0547448524
Professional Enrollment ID
I20240917000589
Address ID
OK741279907TU744XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

580 ANESTHESIOLOGY in OK

Provider Addresses for BENSON OGLESBY

  • 9528 S 87TH EAST AVE

    TULSA, OK 741336411

    Phone: (918) 409-5339

    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)

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: 2024-09-17

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
I20240917000589IAnesthesiologyOKTBD

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 74133)

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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: 0547448524View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOK
Anesthesiology AssistantOH
Anesthesiology AssistantOK
Anesthesiology AssistantCO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YOK
-OK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

Can I verify BENSON OGLESBY with an NPI only?
You can start verification with NPI 1538788047 for BENSON OGLESBY, then check state licensing separately.
Does CMS list BENSON OGLESBY as active?
Yes — BENSON OGLESBY is active in the NPI listing used on this page.
What healthcare role does BENSON OGLESBY hold?
Scheduling teams often label BENSON OGLESBY under Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Does BENSON OGLESBY list a practice location?
Patients near Tulsa, Oklahoma may find BENSON OGLESBY in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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