TINA C SMALL (MD) – Physical Medicine & Rehabilitation Physician, NPI 1720074255
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
70 PHYSICAL MEDICINE AND REHABILITATION in OK
Provider Addresses for TINA C SMALL (MD)
19468 SW COOMBS RD
CACHE, OK 735274824
Phone: (972) 351-2900
Fax: (580) 429-0819
Type: Mailing
4301 WILSON ST
FORT SILL, OK 735034472
Phone: (580) 558-8497
Fax: (580) 429-0819
Type: Mailing
5109 W GORE BLVD
LAWTON, OK 735055998
Phone: (580) 699-2495
Fax: (580) 699-2515
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: 2004-10-27
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 |
|---|---|---|---|---|
| I20041027000180 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 44 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 73527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Interventional Pain Management, Anesthesiology | OK |
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