DR. THEODORE W. POLLOCK (DO) – Internal Medicine Physician, NPI 1609817246
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 HEMATOLOGY/ONCOLOGY in OK
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Provider Addresses for DR. THEODORE W. POLLOCK (DO)
Southwestern Regional Medical Center, 10109, East 79th Street, The Reserve Villages of Highland Park, Tulsa, Tulsa County, Oklahoma, 74133, United States
TULSA, OK 74133
Phone: (918) 286-5000
Fax: (918) 249-7514
Type: Location
East 79th Street, Walnut Creek, Tulsa, Oklahoma, 74136, United States
TULSA, OK 74133
Phone: (918) 286-5000
Fax: (918) 249-7514
Type: Mailing
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 366-5671
Fax: (614) 688-7581
Type: Mailing
1957 OHIO DR
GROVE CITY, OH 431234835
Phone: (614) 366-5671
Fax: (614) 688-7581
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($95).
Total Amount
$95
General + Research + Ownership
Payments
5
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $95 |
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: 2009-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070424000262 | I | Hematology/Oncology | OH | TBD |
| I20090120000261 | I | Medical Oncology | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 714 | 165 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 134 | 97 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 102 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 26 | $0 |
Insurance plans in this area (ZIP 74133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Nephrology | OK | |
| Hematology/Oncology, Internal Medicine | TX | |
| Nephrology, Internal Medicine | OKLAHOMA | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OK | |
| R H E U M A T O L O G Y | NY | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| N E U R O S U R G E R Y | KS | |
| Nurse Practitioner | OK |
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