DR. ELESYIA D. OUTLAW-EVANS (MD) – Radiation Oncology Physician, NPI 1821115304

DR. ELESYIA D. OUTLAW-EVANS (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 2004 (MO). The NPI Number for DR. ELESYIA D. OUTLAW-EVANS (MD) is 1821115304

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELESYIA D. OUTLAW-EVANS (MD)
NPI
1821115304
Phone
(918) 286-5000
Address
10109 E. 79TH STREET
Enumeration Date
22 March 2007
Last Update Date
1 February 2023

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704006080
Graduation Year
2002 (24 years ago)
PAC ID
6800962689
Group Practice PAC ID
4880841212
Professional Enrollment ID
I20230310001437
Address ID
GA302658001NE600XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

57 RADIATION ONCOLOGY in OK

Provider Addresses for DR. ELESYIA D. OUTLAW-EVANS (MD)

  • 10109 E. 79TH STREET

    TULSA, OK 74133

    Phone: (918) 286-5000

    Fax: (918) 249-7514

    Type: Mailing

  • 600 CELEBRATE LIFE PKWY

    NEWNAN, GA 302658001

    Phone: (770) 343-7735

    Fax: (770) 400-6925

    Type: Mailing

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 $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($38).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230310001437IRadiation OncologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields42049$0
77300Calculation of radiation therapy dose15341$0
77334Design and construction of complex radiation treatment device14145$0
77427Radiation treatment management, 5 treatment sessions9035$0
99205New patient office or other outpatient visit, 60-74 minutes6464$0
View full utilization report →

Insurance plans in this area (ZIP 74133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880841212View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
-GA
Plastic And Reconstructive SurgeryGA
Nurse PractitionerGA
P S Y C H I A T R YGA
-NC

Reviews

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Frequently asked questions

What is DR. ELESYIA D. OUTLAW-EVANS (MD)'s NPI number?
DR. ELESYIA D. OUTLAW-EVANS (MD)'s NPI is 1821115304 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. ELESYIA D. OUTLAW-EVANS (MD)?
For scheduling context, DR. ELESYIA D. OUTLAW-EVANS (MD) is shown as active in the registry.
What expertise is attributed to DR. ELESYIA D. OUTLAW-EVANS (MD)?
DR. ELESYIA D. OUTLAW-EVANS (MD)'s specialty line reads Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. ELESYIA D. OUTLAW-EVANS (MD) located near Tulsa?
DR. ELESYIA D. OUTLAW-EVANS (MD) currently maps to Tulsa, Oklahoma in this extract.
Can I trust this NPI listing for DR. ELESYIA D. OUTLAW-EVANS (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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