KENNETH GAROLD JR. FOSTER (PA-C) – Physician Assistant, NPI 1992249486

KENNETH GAROLD JR. FOSTER (PA-C) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 2703 (OK). The NPI Number for KENNETH GAROLD JR. FOSTER (PA-C) is 1992249486

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH GAROLD JR. FOSTER (PA-C)
NPI
1992249486
Phone
(405) 789-0458
Address
5252 N MERIDIAN AVE
Enumeration Date
19 December 2016
Last Update Date
19 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2548794900
Graduation Year
2016 (10 years ago)
PAC ID
8628331105
Group Practice PAC ID
6800241225
Professional Enrollment ID
I20180416000793
Address ID
OK735056332LA3401XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for KENNETH GAROLD JR. FOSTER (PA-C)

  • 5252 N MERIDIAN AVE

    SUITE 101

    OKLAHOMA CITY, OK 731122178

    Phone: (405) 789-0458

    Fax: (405) 787-0184

    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 4 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-08-22 • Largest payer in this snapshot: ABBVIE INC. ($87).

Total Amount

$87

General + Research + Ownership

Payments

4

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$87
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: 2018-04-16

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
I20180416000793IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73112)

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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: 6800241225View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineOK
Osteopathic Manipulative Medicine, Emergency MedicineKS
Physician AssistantTX
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineOK

Reviews

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Frequently asked questions

How do payers reference KENNETH GAROLD JR. FOSTER (PA-C)?
For KENNETH GAROLD JR. FOSTER (PA-C), use NPI 1992249486 as the unique 10-digit identifier.
Active or inactive — what applies to KENNETH GAROLD JR. FOSTER (PA-C)?
You should see KENNETH GAROLD JR. FOSTER (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to KENNETH GAROLD JR. FOSTER (PA-C)?
KENNETH GAROLD JR. FOSTER (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KENNETH GAROLD JR. FOSTER (PA-C) located near Oklahoma City?
KENNETH GAROLD JR. FOSTER (PA-C) currently maps to Oklahoma City, Oklahoma in this extract.
Can I trust this NPI listing for KENNETH GAROLD JR. FOSTER (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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