DR. AMANDA BIGHORSE (D.O.) – Family Medicine Physician, NPI 1619243888

DR. AMANDA BIGHORSE (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5203 (OK). The NPI Number for DR. AMANDA BIGHORSE (D.O.) is 1619243888

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA BIGHORSE (D.O.)
NPI
1619243888
Phone
(918) 743-8200
Address
7912 E 31ST CT
Enumeration Date
1 April 2012
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
91896895313035
Graduation Year
2011 (15 years ago)
PAC ID
8022267475
Group Practice PAC ID
2668361379
Professional Enrollment ID
I20240705000747
Address ID
OK740795184ST35611RDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for DR. AMANDA BIGHORSE (D.O.)

  • 7912 E 31ST CT

    TULSA, OK 741451315

    Phone: (918) 743-8200

    Type: Location

  • 395200 W 2900 RD

    OCHELATA, OK 740512463

    Phone: (918) 535-6000

    Type: Mailing

  • 601 S HARBOUR ISLAND BLVD STE 200

    TAMPA, FL 336025925

    Phone: (727) 322-3439

    Type: Mailing

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: 2024-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121001000064IFamily PracticeTXTBD
I20240705000747IFamily PracticeOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74145)

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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: 2668361379View full group profile
NameSpecialtyState
Mental Health CounselorOK
Physician AssistantOK
Physical Medicine And RehabilitationAR
Registered Dietitian Or Nutrition ProfessionalOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
P O D I A T R YOK
Nurse PractitionerOK
Nurse PractitionerOK
-OK

Reviews

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Frequently asked questions

Can I use this page to confirm DR. AMANDA BIGHORSE (D.O.)'s NPI?
Yes. DR. AMANDA BIGHORSE (D.O.) is listed with NPI 1619243888 in the public NPI dataset.
Is DR. AMANDA BIGHORSE (D.O.) still practicing?
DR. AMANDA BIGHORSE (D.O.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. AMANDA BIGHORSE (D.O.)?
For research purposes, treat DR. AMANDA BIGHORSE (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. AMANDA BIGHORSE (D.O.) based?
DR. AMANDA BIGHORSE (D.O.) is tied to Tulsa, Oklahoma in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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