TIMOTHY HERBERT SANFORD (D.O.) – Family Medicine Physician, NPI 1992819197
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY HERBERT SANFORD (D.O.)
1151, South Belmont Avenue, Okmulgee, Okmulgee County, Oklahoma, 74447, United States
SUITE 101
OKMULGEE, OK 744476307
Phone: (918) 759-2200
Fax: (918) 759-2206
Type: Mailing
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Fax: (786) 522-9018
Type: Mailing
2650 BEACH BLVD STE 40
BILOXI, MS 395314517
Phone: (228) 273-4611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: ABBVIE INC. ($23).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $23 |
| Gilead Sciences, Inc. | $22 |
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: 2021-12-13
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 |
|---|---|---|---|---|
| I20211213002828 | I | Family Practice | MS | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 19 | 18 | $0 |
Insurance plans in this area (ZIP 74447)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | OK | |
| P S Y C H I A T R Y | OK | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | OK | |
| N E U R O L O G Y | AR | |
| Mental Health Counselor | OK | |
| E N D O C R I N O L O G Y | AR | |
| Mental Health Counselor | OK | |
| O P T O M E T R Y | OK |
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