DR. STORMY RAY WALKUP (D.O.) – Family Medicine Physician, NPI 1710428958

DR. STORMY RAY WALKUP (D.O.) is a healthcare provider. based in Idabel, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 6273 (OK). The NPI Number for DR. STORMY RAY WALKUP (D.O.) is 1710428958

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. STORMY RAY WALKUP (D.O.)
NPI
1710428958
Phone
(805) 286-3993
Address
1302 S LYNN LN
Enumeration Date
20 March 2017
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5809243080
Graduation Year
2016 (10 years ago)
PAC ID
6406128594
Group Practice PAC ID
3375638976
Professional Enrollment ID
I20171006000952
Address ID
OK747013006DU1800XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for DR. STORMY RAY WALKUP (D.O.)

  • 1302 S LYNN LN

    IDABEL, OK 747456860

    Phone: (805) 286-3993

    Fax: (580) 286-3967

    Type: Mailing

  • 1301 E Lincoln Rd

    Idabel, OK 747457300

    Phone: (580) 286-7623

    Fax: (580) 208-3199

    Type: Location

  • 1600 W University Blvd

    Durant, OK 747013094

    Phone: (580) 924-5500

    Type: Location

  • 1600, West University Boulevard, Durant, Bryan County, Oklahoma, 74701, United States

    DURANT, OK 747013094

    Phone: (580) 924-5500

    Type: Mailing

  • AllianceHealth Madill, 901, South 5th Avenue, Madill, Marshall County, Oklahoma, 73446, United States

    MADILL, OK 734463640

    Phone: (580) 795-3384

    Fax: (580) 795-0185

    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: 2017-10-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171006000952IFamily PracticeOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes764309$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes249221$0
99214Established patient office or other outpatient visit, 30-39 minutes210101$0
99239Hospital discharge day management, more than 30 minutes162153$0
99238Hospital discharge day management, 30 minutes or less9390$0
View full utilization report →

Insurance plans in this area (ZIP 74745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375638976View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOK
-OK
Nurse PractitionerOK
Orthopedic SurgeryOK
-OK
P O D I A T R YTX
O B S T E T R I C S/ G Y N E C O L O G YOK
Internal MedicineTX
U R O L O G YOK
-OK

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. STORMY RAY WALKUP (D.O.)?
DR. STORMY RAY WALKUP (D.O.) — NPI 1710428958 — is the standard way to identify this listing.
Does CMS list DR. STORMY RAY WALKUP (D.O.) as active?
Yes — DR. STORMY RAY WALKUP (D.O.) is active in the NPI listing used on this page.
What is DR. STORMY RAY WALKUP (D.O.) best known for clinically?
Directory data describes DR. STORMY RAY WALKUP (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. STORMY RAY WALKUP (D.O.) list a practice location?
Patients near Idabel, Oklahoma may find DR. STORMY RAY WALKUP (D.O.) in results; validate coverage separately.
Is the information about DR. STORMY RAY WALKUP (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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