DR. ANTOINE I JABBOUR (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1588632905

DR. ANTOINE I JABBOUR (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 17674 (OK). The NPI Number for DR. ANTOINE I JABBOUR (MD) is 1588632905

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTOINE I JABBOUR (MD)
NPI
1588632905
Phone
(918) 392-1400
Address
4802 S 109TH E AVENUE
Enumeration Date
10 March 2006
Last Update Date
8 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9183921513
Graduation Year
1990 (36 years ago)
PAC ID
2163421942
Group Practice PAC ID
9335033802
Professional Enrollment ID
I20100804001039
Address ID
OK741465826TU4812XAVEX500
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

328 ORTHOPEDIC SURGERY in OK

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Provider Addresses for DR. ANTOINE I JABBOUR (MD)

  • Tulsa Bone and Joint, 4802, South 109th East Avenue, Tulsa, Oklahoma, 74146, United States

    TULSA, OK 74146

    Phone: (918) 392-1400

    Fax: (918) 392-1488

    Type: Mailing

  • 4802, South 109th East Avenue, Tulsa, Tulsa County, Oklahoma, 74146, United States

    TULSA, OK 741465822

    Phone: (918) 392-1400

    Fax: (918) 392-1488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $38,641.

Total Amount is formed as General ($38,641) + Research ($0) + Ownership ($0) = $38,641.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: EXACTECH, INC. ($37,200).

Total Amount

$38,641

General + Research + Ownership

Payments

31

Total payment records

General Amount

$38,641

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-08-04

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
I20100804001039IOrthopedic 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
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg8,160115$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance286133$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg25370$0
99214Established patient office or other outpatient visit, 30-39 minutes214149$0
73564X-ray of knee, 4 or more views153113$0
View full utilization report →

Insurance plans in this area (ZIP 74146)

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Provider's Procedures

DR. ANTOINE I JABBOUR (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOK73562X-ray of knee, 3 views2319

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: 9335033802View full group profile
NameSpecialtyState
Orthopedic SurgeryOK
Sports Medicine, Family PracticeOK
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK
Sports Medicine, Family PracticeOK
Physical Therapist In Private PracticeOK
R H E U M A T O L O G YOK
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOK
Orthopedic SurgeryOK

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Frequently asked questions

What is the standard ID for DR. ANTOINE I JABBOUR (MD) in the U.S.?
In the U.S., DR. ANTOINE I JABBOUR (MD) is identified by NPI 1588632905.
Should I treat DR. ANTOINE I JABBOUR (MD) as an active provider?
Patients and plans typically see DR. ANTOINE I JABBOUR (MD) as active in the national extract.
How should patients interpret DR. ANTOINE I JABBOUR (MD)'s specialty?
The extract shows Sports Medicine (Orthopaedic Surgery) Physician for DR. ANTOINE I JABBOUR (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANTOINE I JABBOUR (MD)?
The directory associates DR. ANTOINE I JABBOUR (MD) with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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