DR. ROBERT BRADLEY BOCCACCIO (D.O.) – Obstetrics & Gynecology Physician, NPI 1932587730
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
480 OBSTETRICS/GYNECOLOGY in OK
Provider Addresses for DR. ROBERT BRADLEY BOCCACCIO (D.O.)
920 Stanton L Young Blvd
WP 2410
Oklahoma City, OK 731045036
Phone: (405) 271-8787
Type: Location
5203 Lake Ridge Pkwy Ste 101
Grand Prairie, TX 750523006
Phone: (877) 514-7739
Fax: (817) 633-3329
Type: Location
505 OMEGA DR
ARLINGTON, TX 760142099
Phone: (817) 468-3255
Fax: (817) 468-7823
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,718.
Total Amount is formed as General ($1,718) + Research ($0) + Ownership ($0) = $1,718.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: COLOPLAST CORP ($1,216).
Total Amount
$1,718
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,718
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $1,216 |
| Organon LLC | $339 |
| Intuitive Surgical, Inc. | $72 |
| CooperSurgical, Inc. | $44 |
| CONMED Corporation | $25 |
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: 2019-07-09
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 |
|---|---|---|---|---|
| I20190709002381 | I | Obstetrics/Gynecology | TX | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 21 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 73104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | GA | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
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