MARISSA TAYLOR BRADLEY (PA-C) – Physician Assistant, NPI 1942885926
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for MARISSA TAYLOR BRADLEY (PA-C)
2325 S HARVARD AVE
TULSA, OK 741143300
Phone: (918) 712-4301
Fax: (918) 560-1399
Type: Mailing
730 E TAFT AVE
SAPULPA, OK 740665766
Phone: (918) 216-4006
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $1,663.
Total Amount is formed as General ($1,663) + Research ($0) + Ownership ($0) = $1,663.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($377).
Total Amount
$1,663
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,663
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $377 |
| Alkermes, Inc. | $200 |
| Indivior Inc. | $174 |
| Axsome Therapeutics, Inc. | $169 |
| ITI, Inc. | $102 |
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: 2021-03-24
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 |
|---|---|---|---|---|
| I20210324002035 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 77 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 121 | 57 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 102 | 50 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 47 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 33 | $0 |
Insurance plans in this area (ZIP 74114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| P S Y C H I A T R Y | OK | |
| Clinical Social Worker | OK | |
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| - | OK | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK |
Reviews
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