DR. KEITH CHAMPLIN (M.D.) – Surgical Critical Care Physician, NPI 1629464789
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
Provider Addresses for DR. KEITH CHAMPLIN (M.D.)
612 S TYLER ST
ENID, OK 737036924
Phone: (580) 278-9285
Type: Mailing
910 MADISON AVE
SUITE 1031
MEMPHIS, TN 381033403
Phone: (901) 448-7635
Type: Location
6161 S YALE AVE
TULSA, OK 741361902
Phone: (918) 494-1805
Fax: (918) 494-4573
Type: Location
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $430.
Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($97).
Total Amount
$430
General + Research + Ownership
Payments
15
Total payment records
General Amount
$430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $97 |
| TELA Bio, Inc. | $88 |
| Davol Inc. | $82 |
| ATRICURE, INC. | $38 |
| Acera Surgical, Inc. | $29 |
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: 2022-08-16
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 |
|---|---|---|---|---|
| I20220816000032 | I | General 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 164 | 95 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 74 | 73 | $0 |
| 99291 | Critical care, first 30-74 minutes | 72 | 24 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 35 | 35 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 34 | 20 | $0 |
Insurance plans in this area (ZIP 73703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Orthopedic Surgery, Critical Care (Intensivists) | OK | |
| Orthopedic Surgery | OK | |
| Critical Care (Intensivists), Orthopedic Surgery | OK | |
| Orthopedic Surgery | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| General Surgery | OK | |
| Physician Assistant | OK | |
| General Surgery | OK |
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