DR. JO ELLE GRACE PETERSON (MD) – Anatomic Pathology Physician, NPI 1881830438
Anatomic Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 PATHOLOGY in OK
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Provider Addresses for DR. JO ELLE GRACE PETERSON (MD)
1122 NE 13TH ST # ORI236
OKLAHOMA CITY, OK 731171039
Phone:
Type: Mailing
Stanton L Young Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
OKLAHOMA CITY, OK 731045020
Phone: (713) 206-7708
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2014-11-14
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 |
|---|---|---|---|---|
| I20141114000495 | I | Pathology | 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 |
|---|---|---|---|---|
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 126 | 35 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 110 | 70 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 106 | 57 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 48 | 41 | $0 |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 28 | 26 | $0 |
Insurance plans in this area (ZIP 73117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | OK | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 41 | 29 |
| PATHOLOGY | OK | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 46 | 18 |
| PATHOLOGY | OK | 88342 | Tissue or cell analysis by immunologic technique | 94 | 84 |
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