DR. MARK DAVID CALLERY (D.O.) – Family Medicine Physician, NPI 1548246895

DR. MARK DAVID CALLERY (D.O.) is a healthcare provider. based in Owasso, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 4179 (OK). The NPI Number for DR. MARK DAVID CALLERY (D.O.) is 1548246895

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK DAVID CALLERY (D.O.)
NPI
1548246895
Phone
(918) 376-8900
Address
10512 N 110TH EAST AVE
Enumeration Date
19 December 2005
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9182127373
Graduation Year
2003 (23 years ago)
PAC ID
1254393812
Group Practice PAC ID
9436122496
Professional Enrollment ID
I20041027000623
Address ID
OK740555701OW11402AVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for DR. MARK DAVID CALLERY (D.O.)

  • Bailey Medical Center, 10512, North 110th East Avenue, Owasso, Tulsa, Oklahoma, 74055, United States

    STE 200

    OWASSO, OK 740556636

    Phone: (918) 376-8900

    Fax: (918) 376-8437

    Type: Mailing

  • 7600 S LEWIS AVE

    TULSA, OK 741366836

    Phone: (539) 399-3410

    Type: Mailing

  • 11402 N 135TH EAST AVE

    OWASSO, OK 740555701

    Phone: (918) 212-7373

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $833.

Total Amount is formed as General ($833) + Research ($0) + Ownership ($0) = $833.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Novo Nordisk Inc ($236).

Total Amount

$833

General + Research + Ownership

Payments

50

Total payment records

General Amount

$833

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2004-10-27

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
I20041027000623IFamily 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
36415Insertion of needle into vein for collection of blood sample286164$0
99214Established patient office or other outpatient visit, 30-39 minutes231145$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit109109$0
99213Established patient office or other outpatient visit, 20-29 minutes6961$0
G0008Administration of influenza virus vaccine5453$0
View full utilization report →

Insurance plans in this area (ZIP 74055)

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Provider's Procedures

DR. MARK DAVID CALLERY (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK17003Destruction of 2-14 skin growths12236
FAMILY MEDICINEOK83036Hemoglobin A1C level1412
FAMILY MEDICINEOK90670Pneumococcal vaccine for injection into muscle2727

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: 9436122496View full group profile
NameSpecialtyState
-OK
-MT
Family PracticeOK
-OK
Physician AssistantOK
O B S T E T R I C S/ G Y N E C O L O G YOK
U R O L O G YOK
Orthopedic SurgeryOK
Physician AssistantOK
Family PracticeOK

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Frequently asked questions

Where can patients find DR. MARK DAVID CALLERY (D.O.)'s NPI?
You can confirm DR. MARK DAVID CALLERY (D.O.) with NPI 1548246895; it appears in the national provider directory.
Is DR. MARK DAVID CALLERY (D.O.)'s NPI currently valid?
The extract we use shows DR. MARK DAVID CALLERY (D.O.) as active.
What field does DR. MARK DAVID CALLERY (D.O.) work in?
You can think of DR. MARK DAVID CALLERY (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARK DAVID CALLERY (D.O.)?
The page summarizes Owasso, Oklahoma for DR. MARK DAVID CALLERY (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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