DR. JUSTIN THOMAS ATHERTON (MD) – Surgery Physician, NPI 1912935644

DR. JUSTIN THOMAS ATHERTON (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 19797 (OK). The NPI Number for DR. JUSTIN THOMAS ATHERTON (MD) is 1912935644

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN THOMAS ATHERTON (MD)
NPI
1912935644
Phone
(918) 301-2505
Address
1725 E 19TH ST
Enumeration Date
29 June 2006
Last Update Date
9 March 2010

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9182459675
Graduation Year
1995 (31 years ago)
PAC ID
6406952969
Group Practice PAC ID
9436122496
Professional Enrollment ID
I20100330000225
Address ID
OK740634001SA20XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

354 GENERAL SURGERY in OK

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Provider Addresses for DR. JUSTIN THOMAS ATHERTON (MD)

  • Herman Kaiser Medical Plaza, 1725, East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74120, United States

    SUITE 800

    TULSA, OK 741045472

    Phone: (918) 301-2505

    Fax: (918) 744-3633

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Medtronic, Inc. ($149).

Total Amount

$149

General + Research + Ownership

Payments

1

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$149
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: 2010-03-30

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
I20100330000225IGeneral SurgeryOKTBD

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
99204New patient office or other outpatient visit, 45-59 minutes225225$0
99214Established patient office or other outpatient visit, 30-39 minutes141121$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers10496$0
76998Ultrasonic guidance during surgery7569$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6236$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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Provider's Procedures

DR. JUSTIN THOMAS ATHERTON (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYOK93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2727

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: 9436122496View full group profile
NameSpecialtyState
-OK
-MT
Family PracticeOK
-OK
Physician AssistantOK
O B S T E T R I C S/ G Y N E C O L O G YOK
U R O L O G YOK
Orthopedic SurgeryOK
Physician AssistantOK
Family PracticeOK

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Frequently asked questions

What unique ID ties claims to DR. JUSTIN THOMAS ATHERTON (MD)?
NPI 1912935644 is assigned to DR. JUSTIN THOMAS ATHERTON (MD) under the national enumeration system.
Is DR. JUSTIN THOMAS ATHERTON (MD) active in the national directory?
DR. JUSTIN THOMAS ATHERTON (MD)'s public NPI profile is in an active state.
Can you summarize DR. JUSTIN THOMAS ATHERTON (MD)'s specialty in plain language?
Clinically, the directory lists DR. JUSTIN THOMAS ATHERTON (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JUSTIN THOMAS ATHERTON (MD)?
We surface Tulsa, Oklahoma for DR. JUSTIN THOMAS ATHERTON (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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