JUSTIN GRAHAM DOCKENDORF (MD) – Emergency Medicine Physician, NPI 1619070414
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for JUSTIN GRAHAM DOCKENDORF (MD)
709 N CZECH HALL RD
YUKON, OK 730997897
Phone: (405) 494-8600
Fax: (405) 494-8567
Type: Location
3100 Dutch Forest Ln
Edmond, OK 730137577
Phone: (405) 706-3019
Type: Location
3025 SW 104th St
Oklahoma City, OK 731597036
Phone: (405) 300-7740
Fax: (405) 300-7731
Type: Location
3100 DUTCH FOREST LN
EDMOND, OK 730137577
Phone: (405) 706-3019
Type: Location
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: 2007-03-09
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 |
|---|---|---|---|---|
| I20070309000140 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 54 | 53 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 31 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 28 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 24 | 24 | $0 |
Insurance plans in this area (ZIP 73099)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| O P H T H A L M O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| R H E U M A T O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice, Hospitalist | OK | |
| Medical Oncology | RI | |
| Clinical Social Worker | OK |
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