KASEY LEE BRUNDIDGE (PA-C) – Medical Physician Assistant, NPI 1669676961
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Loading map...
Provider Addresses for KASEY LEE BRUNDIDGE (PA-C)
1201, Arlington Street, Ada, Pontotoc County, Oklahoma, 74820, United States
STE F
ADA, OK 748204072
Phone: (580) 279-1788
Fax: (580) 279-1790
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $758.
Total Amount is formed as General ($758) + Research ($0) + Ownership ($0) = $758.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($285).
Total Amount
$758
General + Research + Ownership
Payments
48
Total payment records
General Amount
$758
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $285 |
| Takeda Pharmaceuticals U.S.A., Inc. | $111 |
| AstraZeneca Pharmaceuticals LP | $84 |
| Lilly USA, LLC | $74 |
| ABBVIE INC. | $52 |
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: 2007-10-17
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 |
|---|---|---|---|---|
| I20071017000440 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,026 | 133 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 810 | 280 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 645 | 290 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 188 | 82 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 121 | 39 | $0 |
Insurance plans in this area (ZIP 74820)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OK | 83036 | Hemoglobin A1C level | 54 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.