SCOTT C WIXOM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1780636407
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
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Provider Addresses for SCOTT C WIXOM (CRNA)
12518, South Cedar Avenue, Jenks, Tulsa County, Oklahoma, 74037, United States
JENKS, OK 740374983
Phone: (918) 728-7419
Type: Mailing
Hillcrest Medical Center, 1120, South Utica Avenue, Midtown Terrace, Tulsa, Tulsa County, Oklahoma, 74104, United States
TULSA, OK 741044012
Phone: (918) 728-4719
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $209.
Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Boston Scientific Corporation ($100).
Total Amount
$209
General + Research + Ownership
Payments
10
Total payment records
General Amount
$209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $100 |
| Abbott Laboratories | $67 |
| Medtronic, Inc. | $28 |
| Teleflex LLC | $14 |
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: 2010-05-14
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 |
|---|---|---|---|---|
| I20100514000245 | I | Certified Registered Nurse Anesthetist (Crna) | AZ | 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 |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 72 | 71 | $0 |
| 00537 | Anesthesia for procedure to assess heart electrical activity | 58 | 57 | $0 |
| 01926 | Anesthesia for x-ray on artery of brain, heart, or chest | 18 | 18 | $0 |
| 00560 | Anesthesia for procedure on heart and large blood vessels | 13 | 13 | $0 |
| 00530 | Anesthesia for insertion of permanent heart pacemaker | 12 | 12 | $0 |
Insurance plans in this area (ZIP 74037)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | OK | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 81 | 76 |
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