MICHAEL KEITH PICKENS (D.O.) – Pediatric Gastroenterology Physician, NPI 1912195751
Pediatric Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
261 PEDIATRIC MEDICINE in OK
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Provider Addresses for MICHAEL KEITH PICKENS (D.O.)
South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States
TULSA, OK 741363361
Phone: (918) 488-6045
Fax: (918) 488-6098
Type: Mailing
420, South Yale Avenue, Bixby, Tulsa County, Oklahoma, 74047, United States
TULSA, OK 74136
Phone: (918) 502-1700
Fax: (918) 502-1715
Type: Location
4800 SAND POINT WAY NE
SEATTLE, WA 981053901
Phone: (206) 987-2000
Type: Location
PO BOX 5371
SEATTLE, WA 981455005
Phone: (206) 987-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $4,203.
Total Amount is formed as General ($4,203) + Research ($0) + Ownership ($0) = $4,203.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($3,452).
Total Amount
$4,203
General + Research + Ownership
Payments
8
Total payment records
General Amount
$4,203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $3,452 |
| EvoEndo, Inc | $692 |
| 3-D Matrix, Inc. | $46 |
| GENZYME CORPORATION | $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: 2009-07-29
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 |
|---|---|---|---|---|
| I20090729000616 | I | Pediatric Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | WA | |
| - | WA | |
| Pediatric Medicine, Hematology/Oncology | CA | |
| - | WA | |
| Diagnostic Radiology, Pediatric Medicine | WA | |
| Nurse Practitioner | WA | |
| A N E S T H E S I O L O G Y | WA | |
| General Surgery, Thoracic Surgery, Surgical Oncology | WA | |
| - | WA | |
| - | WA |
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