MICHAEL DAVID RADER (M.D.) – Dermatology Physician, NPI 1619966108

MICHAEL DAVID RADER (M.D.) is a healthcare provider. based in Elk city, Oklahoma. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 18832 (OK). The NPI Number for MICHAEL DAVID RADER (M.D.) is 1619966108

Main info

Male
36 Years Of Experience
Name
MICHAEL DAVID RADER (M.D.)
NPI
1619966108
Phone
(580) 243-3376
Address
1121 W 3RD ST
Enumeration Date
18 October 2005
Last Update Date
24 October 2008

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
3375601677
Professional Enrollment ID
I20081015000050
Address ID
OK736445103EL1121XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

126 DERMATOLOGY in OK

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Provider Addresses for MICHAEL DAVID RADER (M.D.)

  • 1121, West 3rd Street, Elk City, Beckham County, Oklahoma, 73644, United States

    ELK CITY, OK 736445103

    Phone: (580) 243-3376

    Fax: (580) 243-3377

    Mailing address matches the actual address.

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: 2008-10-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081015000050IDermatologyOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3,238496$0
99213Established patient office or other outpatient visit, 20-29 minutes902633$0
17000Destruction of precancer skin growth, 1 growth788595$0
99203New patient office or other outpatient visit, 30-44 minutes216216$0
11102Biopsy of related skin growth, first growth198176$0
View full utilization report →

Insurance plans in this area (ZIP 73644)

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Provider's Procedures

MICHAEL DAVID RADER (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOK17003Destruction of 2-14 skin growths5205818

Reviews

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Frequently asked questions

How do payers reference MICHAEL DAVID RADER (M.D.)?
For MICHAEL DAVID RADER (M.D.), use NPI 1619966108 as the unique 10-digit identifier.
Active or inactive — what applies to MICHAEL DAVID RADER (M.D.)?
You should see MICHAEL DAVID RADER (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for MICHAEL DAVID RADER (M.D.)?
At a glance, MICHAEL DAVID RADER (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL DAVID RADER (M.D.) associated with Elk City?
Public fields place MICHAEL DAVID RADER (M.D.) around Elk City, Oklahoma. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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