JACQUELINE PETRAY (M.D.) – Internal Medicine Physician, NPI 1548200751
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,476 INTERNAL MEDICINE in OK
Provider Addresses for JACQUELINE PETRAY (M.D.)
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone: (888) 247-0125
Fax: (918) 832-6055
Type: Mailing
6565 S YALE AVE STE 312
TULSA, OK 741368304
Phone: (918) 502-7050
Fax: (918) 502-7055
Type: Location
13600 E 86th St N
100
Owasso, OK 740558731
Phone: (918) 272-9313
Fax: (918) 293-3117
Type: Location
1515, North Harvard Avenue, North Evanston Place, Tulsa, Tulsa County, Oklahoma, 74115, United States
SUITE E
TULSA, OK 741154957
Phone: (918) 832-6049
Fax: (918) 832-6055
Type: Mailing
East 86th Street North, Owasso, Tulsa County, Oklahoma, 74055, United States
100
OWASSO, OK 740558731
Phone: (918) 272-9313
Fax: (918) 293-3117
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 135 Open Payments records for all available years, with a total value of $2,547.
Total Amount is formed as General ($2,547) + Research ($0) + Ownership ($0) = $2,547.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($345).
Total Amount
$2,547
General + Research + Ownership
Payments
135
Total payment records
General Amount
$2,547
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $345 |
| Novo Nordisk Inc | $249 |
| PFIZER INC. | $202 |
| Lilly USA, LLC | $201 |
| AstraZeneca Pharmaceuticals LP | $200 |
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: 2004-04-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040402000427 | I | Internal Medicine | OK | TBD |
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.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 358 | 271 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 76 | 74 | $0 |
| 83036 | Hemoglobin a1c level | 76 | 65 | $0 |
| 85610 | Blood test, clotting time | 72 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 39 | $0 |
Insurance plans in this area (ZIP 74136)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | OK | |
| Pediatric Medicine | OK | |
| - | OK |
Reviews
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