MICKEY R TYRRELL (MD) – Family Medicine Physician, NPI 1710925680
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for MICKEY R TYRRELL (MD)
803, North Foreman Street, Vinita, Craig County, Oklahoma, 74301, United States
SUITE 102
VINITA, OK 743011412
Phone: (918) 256-2261
Fax: (918) 256-2304
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 476 Open Payments records for all available years, with a total value of $7,516.
Total Amount is formed as General ($7,516) + Research ($0) + Ownership ($0) = $7,516.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($791).
Total Amount
$7,516
General + Research + Ownership
Payments
476
Total payment records
General Amount
$7,516
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-11-07
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 |
|---|---|---|---|---|
| I20051107000550 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 411 | 230 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 396 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 381 | 227 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 272 | 87 | $0 |
| 83036 | Hemoglobin a1c level | 245 | 122 | $0 |
Insurance plans in this area (ZIP 74301)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK |
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