DR. SAMUEL JAY PANGBURN (DO) – Surgery Physician, NPI 1922085216
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
Provider Addresses for DR. SAMUEL JAY PANGBURN (DO)
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
8042 Wurzbach Rd
Ste 310
San Antonio, TX 782293818
Phone: (210) 614-5113
Fax: (210) 614-7938
Type: Location
East 91st Street, Woodland Glens, Tulsa, Tulsa County, Oklahoma, 74012, United States
TULSA, OK 74133
Phone: (918) 307-3120
Fax: (918) 307-3121
Type: Location
6600 S YALE AVE STE 14000
TULSA, OK 741363347
Phone: (888) 247-0125
Fax: (918) 502-8210
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $5,691.
Total Amount is formed as General ($5,691) + Research ($0) + Ownership ($0) = $5,691.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,256).
Total Amount
$5,691
General + Research + Ownership
Payments
13
Total payment records
General Amount
$5,691
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $5,256 |
| CONMED Corporation | $229 |
| Davol Inc. | $97 |
| TAS Medical, Inc. | $59 |
| PolyNovo North America LLC | $50 |
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: 2004-11-29
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 |
|---|---|---|---|---|
| I20041129000529 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 57 | 57 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 22 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 23 | 23 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 22 | 12 | $0 |
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OK | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | OK |
Reviews
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