DR. DONALD M ELGIN (MD) – Family Medicine Physician, NPI 1790892529
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 DR. DONALD M ELGIN (MD)
Tahlequah Post Office, 3rd Street, Plaza, Tahlequah, Cherokee County, Oklahoma, 74464, United States
TAHLEQUAH, OK 744651008
Phone: (918) 478-2101
Fax: (918) 478-6008
Type: Mailing
Fort Gibson Medical Clinic, 104, Lone Oak Circle, Fort Gibson, Muskogee County, Oklahoma, 74434, United States
FT. GIBSON, OK 74434
Phone: (918) 478-2101
Fax: (918) 478-6008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $298.
Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Lilly USA, LLC ($89).
Total Amount
$298
General + Research + Ownership
Payments
15
Total payment records
General Amount
$298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $89 |
| ABBVIE INC. | $65 |
| Otsuka America Pharmaceutical, Inc. | $42 |
| Novo Nordisk Inc | $39 |
| ALK-Abello, Inc | $35 |
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: 2003-11-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20031107000698 | 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 |
|---|---|---|---|---|
| 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 | 150 | 48 | $0 |
| G0180 | Physician or allowed practitioner 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 and | 36 | 33 | $0 |
Insurance plans in this area (ZIP 74465)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Nephrology | OK | |
| Hematology/Oncology, Internal Medicine | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OK | |
| R H E U M A T O L O G Y | NY | |
| Nurse Practitioner | OK | |
| Emergency Medicine | OK | |
| N E U R O S U R G E R Y | KS | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| Family Practice, Obstetrics/Gynecology | OK |
Reviews
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