MARTIN CRAIG BOZEMAN (M.D.) – Surgery Physician, NPI 1568421253

MARTIN CRAIG BOZEMAN (M.D.) is a healthcare provider. based in Ponca city, Oklahoma. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 30333 (OK). The NPI Number for MARTIN CRAIG BOZEMAN (M.D.) is 1568421253

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MARTIN CRAIG BOZEMAN (M.D.)
NPI
1568421253
Phone
(580) 749-4729
Address
1717 N 4th St Ste 102
Enumeration Date
21 March 2006
Last Update Date
19 August 2019

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
5802493898
Graduation Year
1987 (39 years ago)
PAC ID
7315076049
Group Practice PAC ID
3678672276
Professional Enrollment ID
I20140207000737
Address ID
OK737015863EN330XXSTXX402
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

354 GENERAL SURGERY in OK

Provider Addresses for MARTIN CRAIG BOZEMAN (M.D.)

  • 1717 N 4th St Ste 102

    Ponca City, OK 746012749

    Phone: (580) 749-4729

    Fax: (580) 749-4721

    Type: Location

  • Malvern Post Office, Martin Luther King Boulevard, Malvern, Hot Spring County, Arkansas, 72104, United States

    MALVERN, PA 193550746

    Phone: (580) 249-3898

    Type: Mailing

  • South 5th Street, Enid, Garfield County, Oklahoma, 73701, United States

    ENID, OK 737015863

    Phone: (580) 249-3898

    Fax: (580) 234-9625

    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: 2014-02-07

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
I20140207000737IGeneral SurgeryOKTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8637$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7064$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6829$0
99213Established patient office or other outpatient visit, 20-29 minutes5435$0
99203New patient office or other outpatient visit, 30-44 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 74601)

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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: 3678672276View full group profile
NameSpecialtyState
P O D I A T R YOK
Family PracticePA
Nurse PractitionerOK
Internal Medicine, EndocrinologyOK
Nurse PractitionerOK
-OK
Interventional Cardiology, Cardiovascular Disease (Cardiology)OK
General SurgeryOK
Cardiovascular Disease (Cardiology)OK
Family PracticeOK

Reviews

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Frequently asked questions

How is MARTIN CRAIG BOZEMAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MARTIN CRAIG BOZEMAN (M.D.) with NPI 1568421253.
Is MARTIN CRAIG BOZEMAN (M.D.) listed as active for patients and plans?
The listing shows MARTIN CRAIG BOZEMAN (M.D.) as active in the NPI system.
What is MARTIN CRAIG BOZEMAN (M.D.)'s specialty?
The listing groups MARTIN CRAIG BOZEMAN (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MARTIN CRAIG BOZEMAN (M.D.) on a map?
Expect Ponca City, Oklahoma as a primary anchor for MARTIN CRAIG BOZEMAN (M.D.) unless the record lists multiple sites.
Why does MARTIN CRAIG BOZEMAN (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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