DR. PETER B STANBRO (M.D., M.P.H) – Child & Adolescent Psychiatry Physician, NPI 1659339224
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
363 PSYCHIATRY in OK
Provider Addresses for DR. PETER B STANBRO (M.D., M.P.H)
2000 E 15TH ST STE 400A
EDMOND, OK 730136673
Phone: (617) 899-4945
Type: Location
2000, East 15th Street, Madison Oaks Professional Office Park, Edmond, Oklahoma County, Oklahoma, 73013, United States
SUITE 400-A
EDMOND, OK 730136697
Phone: (617) 899-4945
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-05-28 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($152).
Total Amount
$265
General + Research + Ownership
Payments
4
Total payment records
General Amount
$265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $152 |
| Noven Pharmaceuticals, Inc. | $92 |
| Corium, LLC | $21 |
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: 2009-10-23
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 |
|---|---|---|---|---|
| I20091023000655 | I | Psychiatry | 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 73013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Family Practice | OK | |
| Certified Nurse Midwife (Cnm) | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| - | OK | |
| Internal Medicine | OK | |
| Nurse Practitioner | OK |
Reviews
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