VANCE EDMOND MCCOLLOM (MD) – Diagnostic Radiology Physician, NPI 1609833565
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 DIAGNOSTIC RADIOLOGY in OK
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Provider Addresses for VANCE EDMOND MCCOLLOM (MD)
3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY, OK 731342640
Phone: (405) 552-5165
Fax: (405) 949-3417
Type: Mailing
Northwest Expressway, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
OKLAHOMA CITY, OK 731124418
Phone: (405) 949-3417
Fax: (405) 552-5165
Type: Location
280, North Independence Avenue, Enid, Garfield County, Oklahoma, 73701, United States
OKLAHOMA CITY, OK 731125555
Phone: (405) 552-0155
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $1,042.
Total Amount is formed as General ($1,042) + Research ($0) + Ownership ($0) = $1,042.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Boston Scientific Corporation ($423).
Total Amount
$1,042
General + Research + Ownership
Payments
38
Total payment records
General Amount
$1,042
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $423 |
| Penumbra, Inc. | $222 |
| Stryker Corporation | $186 |
| Imperative Care, Inc | $85 |
| Inari Medical, Inc. | $73 |
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: 2010-12-10
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 |
|---|---|---|---|---|
| I20101210001005 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 181 | 163 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 55 | 48 | $0 |
| 75774 | Review by radiologist of additional artery image | 42 | 20 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 32 | 32 | $0 |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 25 | 25 | $0 |
Insurance plans in this area (ZIP 73134)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OK | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 29 | 29 |
| DIAGNOSTIC RADIOLOGY | OK | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 76 | 74 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | MI | |
| Interventional Radiology, Diagnostic Radiology | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | PA | |
| Interventional Radiology | MD | |
| - | OK | |
| Physician Assistant | OK | |
| Diagnostic Radiology | OK |
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