MR. BOB BURLISON (P.A.-C) – Physician Assistant, NPI 1710020151
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MR. BOB BURLISON (P.A.-C)
1 Choctaw Way
Talihina, OK 745712022
Phone: (918) 567-7000
Type: Location
806 Highway 2 N
Wilburton, OK 745783625
Phone: (918) 465-2391
Fax: (918) 465-3755
Type: Location
804 W ENID AVE
WILBURTON, OK 745782248
Phone: (580) 239-0449
Type: Mailing
1590 W LIBERTY RD
ATOKA, OK 745251701
Phone: (580) 889-3333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050506000571 | I | Physician Assistant | OK | TBD |
| I20110324000424 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 78 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 45 | $0 |
Insurance plans in this area (ZIP 74571)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | OK | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | OK | |
| N E U R O L O G Y | AR | |
| E N D O C R I N O L O G Y | AR | |
| Mental Health Counselor | OK | |
| O P T O M E T R Y | OK | |
| - | OK | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | OK |
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