ROBERT ANTHONY OLDHAM (PAC) – Physician Assistant, NPI 1578554101

ROBERT ANTHONY OLDHAM (PAC) is a healthcare provider. based in Antlers, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 878 (OK). The NPI Number for ROBERT ANTHONY OLDHAM (PAC) is 1578554101

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT ANTHONY OLDHAM (PAC)
NPI
1578554101
Phone
(580) 298-3351
Address
603 NE 2ND ST
Enumeration Date
2 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
8921998857
Group Practice PAC ID
2466486329
Professional Enrollment ID
I20040508000347
Address ID
OK747434229HU1201XSTXX404
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

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for ROBERT ANTHONY OLDHAM (PAC)

  • 603, Northeast 2nd Street, Antlers, Pushmataha County, Oklahoma, 74523, United States

    ANTLERS, OK 74523

    Phone: (580) 298-3351

    Fax: (580) 298-6137

    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: 2004-05-08

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
I20040508000347IPhysician AssistantOKTBD

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
99284Emergency department visit with moderate level of medical decision making200162$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18281$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes119105$0
99283Emergency department visit with low level of medical decision making9888$0
99238Hospital discharge day management, 30 minutes or less4843$0
View full utilization report →

Insurance plans in this area (ZIP 74523)

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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: 2466486329View full group profile
NameSpecialtyState
Family PracticeOK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Family PracticeOK

Reviews

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Frequently asked questions

Does ROBERT ANTHONY OLDHAM (PAC) have a public NPI I can cite?
Public records show ROBERT ANTHONY OLDHAM (PAC) under NPI 1578554101.
Should I treat ROBERT ANTHONY OLDHAM (PAC) as an active provider?
Patients and plans typically see ROBERT ANTHONY OLDHAM (PAC) as active in the national extract.
How should patients interpret ROBERT ANTHONY OLDHAM (PAC)'s specialty?
The extract shows Physician Assistant for ROBERT ANTHONY OLDHAM (PAC). Clinical services aligned with this taxonomy classification.
Is ROBERT ANTHONY OLDHAM (PAC) tied to Antlers, Oklahoma?
If you are local to Antlers, Oklahoma, ROBERT ANTHONY OLDHAM (PAC) may be relevant to your search.
Can I export ROBERT ANTHONY OLDHAM (PAC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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