DR. IAN DOW BUSHYHEAD (D.O.) – Family Medicine Physician, NPI 1679701361
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. IAN DOW BUSHYHEAD (D.O.)
14601 E 88TH PL N STE 308
OWASSO, OK 740554966
Phone: (918) 528-4733
Fax: (918) 528-4739
Type: Mailing
South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States
TULSA, OK 741363361
Phone: (918) 488-6045
Fax: (918) 488-6098
Type: Mailing
102, South Main Street, Sand Springs, Tulsa County, Oklahoma, 74063, United States
SAND SPRINGS, OK 74063
Phone: (918) 246-5750
Fax: (918) 246-5714
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Abbott Laboratories ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $15 |
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: 2011-09-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110915000808 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 190 | 166 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 74055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | OK | |
| Pediatric Medicine | OK | |
| - | OK |
Reviews
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