DR. CORD TANNER LANDRUM (D.C., PA-C) – Physician Assistant, NPI 1801986740
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for DR. CORD TANNER LANDRUM (D.C., PA-C)
527 W 3rd St
Konawa, OK 748491415
Phone: (580) 925-3286
Fax: (580) 925-9149
Type: Location
527 W 3RD ST
KONAWA, OK 748491415
Phone: (580) 925-3286
Fax: (580) 925-9149
Type: Mailing
905 COLONY DR
ADA, OK 748202329
Phone: (580) 436-5111
Fax: (580) 436-1159
Type: Location
527, West 3rd Street, Konawa, Seminole County, Oklahoma, 74849, United States
KONAWA, OK 748491415
Phone: (580) 925-3286
Fax: (580) 925-9149
Type: Location
1621, East 17th Street, Ada, Pontotoc County, Oklahoma, 74820, United States
ADA, OK 748204304
Phone: (580) 436-9849
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($35).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $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: 2019-01-15
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 |
|---|---|---|---|---|
| I20190115003417 | 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 | 192 | 162 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 101 | 36 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 79 | 75 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 78 | 41 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 66 | 64 | $0 |
Insurance plans in this area (ZIP 74849)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Family Practice, Osteopathic Manipulative Medicine, Sports Medicine | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Endocrinology, Internal Medicine | OK | |
| Nurse Practitioner | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.