ZACHARY ROBERTSON (P.A.) – Medical Physician Assistant, NPI 1588625701
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for ZACHARY ROBERTSON (P.A.)
401 W BLUE STARR DR
CLAREMORE, OK 740174006
Phone: (918) 343-6000
Fax: (918) 274-8556
Type: Location
PO BOX 1829
D
CATOOSA, OK 740151829
Phone: (918) 379-6260
Fax: (918) 293-3149
Type: Mailing
Old US Highway 66, Catoosa, Rogers County, Oklahoma, 74015, United States
D
CATOOSA, OK 740151829
Phone: (918) 379-6260
Fax: (918) 293-3149
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: PFIZER INC. ($53).
Total Amount
$53
General + Research + Ownership
Payments
3
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $53 |
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: 2004-05-14
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 |
|---|---|---|---|---|
| I20040514000224 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 190 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 96 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 76 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 65 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 56 | 28 | $0 |
Insurance plans in this area (ZIP 74017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Family Practice, Emergency Medicine | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | TX | |
| Physician Assistant | OK | |
| Nurse Practitioner | CO | |
| Physician Assistant | OK |
Reviews
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