MATTHEW TYLER MARR (MD) – Plastic Surgery Physician, NPI 1619395175
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
41 PLASTIC AND RECONSTRUCTIVE SURGERY in OK
Provider Addresses for MATTHEW TYLER MARR (MD)
825 NE 10TH ST # 1703
OKLAHOMA CITY, OK 731045417
Phone: (405) 271-2220
Fax: (405) 271-5644
Type: Mailing
3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY, OK 731342640
Phone: (405) 657-3704
Fax: (405) 657-3892
Type: Mailing
4509 INTEGRIS PKWY STE 300
EDMOND, OK 730348696
Phone: (405) 657-3704
Fax: (405) 657-3892
Type: Location
10900 Hefner Pointe Dr Ste 505
Oklahoma City, OK 731205006
Phone: (405) 552-0400
Fax: (405) 752-4251
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $5,130.
Total Amount is formed as General ($5,130) + Research ($0) + Ownership ($0) = $5,130.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AXOGEN ($2,502).
Total Amount
$5,130
General + Research + Ownership
Payments
39
Total payment records
General Amount
$5,130
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 |
|---|---|
| AXOGEN | $2,502 |
| Skeletal Dynamics Inc | $727 |
| Arthrex, Inc. | $451 |
| ABBVIE INC. | $325 |
| Kerecis Limited | $320 |
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: 2024-08-20
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 |
|---|---|---|---|---|
| I20240820002033 | I | Plastic And Reconstructive Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| - | OK | |
| Family Practice, General Surgery, Osteopathic Manipulative Medicine | OK | |
| - | OK | |
| H O S P I T A L I S T | OK | |
| H E M A T O L O G Y/ O N C O L O G Y | OK | |
| - | OK |
Reviews
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