ZACKERY R DEVINE (PA) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1700487147
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for ZACKERY R DEVINE (PA)
2017 W I 35 FRONTAGE RD STE 140
EDMOND, OK 730138555
Phone: (405) 757-3710
Fax: (405) 757-3711
Type: Location
1029 NE 6TH ST APT 331
OKLAHOMA CITY, OK 731171459
Phone: (479) 225-5383
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $106.
Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.
Last reported payment date: 2024-10-12 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($71).
Total Amount
$106
General + Research + Ownership
Payments
5
Total payment records
General Amount
$106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Collegium Pharmaceutical, Inc. | $71 |
| Nalu Medical, Inc. | $35 |
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: 2020-12-22
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 |
|---|---|---|---|---|
| I20201222000718 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 140 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 97 | 97 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 72 | $0 |
| 69210 | Removal of impacted ear wax | 72 | 66 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 53 | 53 | $0 |
Insurance plans in this area (ZIP 73013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Family Practice, Emergency Medicine | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Physician Assistant | TX | |
| Physician Assistant | OK | |
| Nurse Practitioner | CO | |
| Physician Assistant | OK |
Reviews
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