MCKENZIE PITTMAN (PA-C) – Physician Assistant, NPI 1982148524

MCKENZIE PITTMAN (PA-C) is a healthcare provider. based in Edmond, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2698 (OK). The NPI Number for MCKENZIE PITTMAN (PA-C) is 1982148524

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MCKENZIE PITTMAN (PA-C)
NPI
1982148524
Phone
(405) 608-6877
Address
PO BOX 5366
Enumeration Date
16 December 2016
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055211969
Graduation Year
2016 (10 years ago)
PAC ID
8426330630
Group Practice PAC ID
6406172667
Professional Enrollment ID
I20170124001706
Address ID
OK731423019OK13220BLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for MCKENZIE PITTMAN (PA-C)

  • PO BOX 5366

    EDMOND, OK 730835366

    Phone: (405) 608-6877

    Fax: (405) 608-6899

    Type: Mailing

  • 13220 N MACARTHUR BLVD

    OKLAHOMA CITY, OK 731423019

    Phone: (405) 608-6877

    Fax: (405) 521-1979

    Type: Location

  • Hefner Pointe Drive, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States

    OKLAHOMA CITY, OK 731205049

    Phone: (405) 608-6877

    Fax: (405) 608-6899

    Type: Location

  • PO BOX 108835

    OKLAHOMA CITY, OK 731018835

    Phone: (405) 608-6877

    Fax: (405) 608-6899

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,436.

Total Amount is formed as General ($1,436) + Research ($0) + Ownership ($0) = $1,436.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GENZYME CORPORATION ($679).

Total Amount

$1,436

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-01-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170124001706IPhysician AssistantOKTBD

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
17003Destruction of precancer skin growth, 2-14 growths966175$0
99213Established patient office or other outpatient visit, 20-29 minutes370291$0
17000Destruction of precancer skin growth, 1 growth340242$0
99212Established patient office or other outpatient visit, 10-19 minutes224174$0
17110Destruction of skin growth, 1-14 growths196159$0
View full utilization report →

Insurance plans in this area (ZIP 73083)

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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: 6406172667View full group profile
NameSpecialtyState
D E R M A T O L O G YOK

Reviews

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Frequently asked questions

How is MCKENZIE PITTMAN (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MCKENZIE PITTMAN (PA-C) with NPI 1982148524.
Is MCKENZIE PITTMAN (PA-C) still practicing?
MCKENZIE PITTMAN (PA-C) is currently listed as active in the public NPI registry.
What is MCKENZIE PITTMAN (PA-C)'s specialty?
The listing groups MCKENZIE PITTMAN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MCKENZIE PITTMAN (PA-C) based?
MCKENZIE PITTMAN (PA-C) is tied to Edmond, Oklahoma in the data we show; additional addresses may exist on the full record.
Why does MCKENZIE PITTMAN (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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