MR. JIM EDWARD MCKINNEY (PA) – Physician Assistant, NPI 1093791493
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. JIM EDWARD MCKINNEY (PA)
20018 18TH FAIRWAY DR
HUMBLE, TX 773464507
Phone: (281) 755-5021
Type: Mailing
6725 ATASCOCITA RD STE A
HUMBLE, TX 773462292
Phone: (281) 755-5021
Type: Location
11610 N 137th East Ave
Collinsville, OK 740213601
Phone: (918) 928-4180
Fax: (918) 928-4185
Type: Location
6160 S Yale Ave
Tulsa, OK 741361930
Phone: (918) 495-2600
Fax: (918) 497-3007
Type: Location
7858 S Olympia Ave
Tulsa, OK 741321857
Phone: (918) 986-9250
Fax: (918) 986-9205
Type: Location
10506 S Memorial Dr
Tulsa, OK 741336914
Phone: (918) 943-1050
Fax: (918) 369-3209
Type: Location
1801 E Kenosha St
Broken Arrow, OK 740122098
Phone: (918) 449-4150
Fax: (918) 449-4107
Type: Location
2950 S Elm Pl Ste 120
Broken Arrow, OK 740127816
Phone: (918) 451-5191
Fax: (918) 451-5272
Type: Location
102 S MAIN ST
SAND SPRINGS, OK 740636509
Phone: (918) 245-2286
Fax: (918) 241-4366
Type: Location
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone: (918) 499-4855
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-06-15 • Largest payer in this snapshot: PFIZER INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $16 |
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: 2024-02-08
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 |
|---|---|---|---|---|
| I20240208003351 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK |
Reviews
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