TODD BRADFORD PELTON (PAC) – Physician Assistant, NPI 1770560567
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for TODD BRADFORD PELTON (PAC)
Absentee Shawnee Tribal Health System, 15951, Little Axe Drive, Little Axe, Norman, Cleveland County, Oklahoma, 73026, United States
NORMAN, OK 730269088
Phone: (405) 447-0300
Fax: (405) 701-7914
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 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Kerecis Limited ($18).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $18 |
| Merck Sharp & Dohme LLC | $16 |
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: 2008-10-10
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 |
|---|---|---|---|---|
| I20081010000314 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 30 | 22 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 29 | 23 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 29 | 22 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 73026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| P O D I A T R Y | OK | |
| Family Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Clinical Psychologist | NM | |
| Physician Assistant | OK | |
| Critical Care (Intensivists), Pulmonary Disease | DC | |
| Family Practice | OK |
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