THOMAS S IVAN (DO) – Family Medicine Physician, NPI 1992763411
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for THOMAS S IVAN (DO)
530 N MONTE VISTA ST STE A
ADA, OK 748204675
Phone: (580) 310-9510
Fax: (580) 436-4447
Type: Location
7111 E 21ST ST N STE A
WICHITA, KS 672061078
Phone: (316) 684-2851
Fax: (316) 683-5239
Type: Mailing
530, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States
SUITE A
ADA, OK 748204675
Phone: (580) 310-9510
Fax: (580) 436-4447
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $925.
Total Amount is formed as General ($925) + Research ($0) + Ownership ($0) = $925.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($320).
Total Amount
$925
General + Research + Ownership
Payments
41
Total payment records
General Amount
$925
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $320 |
| AstraZeneca Pharmaceuticals LP | $135 |
| GENZYME CORPORATION | $134 |
| Vanda Pharmaceuticals Inc. | $123 |
| Dexcom, Inc. | $24 |
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: 2025-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050822000244 | I | Family Practice | OK | TBD |
| I20250502001413 | I | Family Practice | KS | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 184 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 99 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 72 | 62 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 65 | 60 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 61 | 60 | $0 |
Insurance plans in this area (ZIP 74820)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OK | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| - | KS | |
| Family Practice, Internal Medicine, Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | CHIANG MAI | |
| Family Practice | KS | |
| - | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS |
Reviews
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