ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC – Orthopaedic Surgery Physician, NPI 1235676453
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC
314 E 5th Ave Ste 103
Owasso, OK 740553484
Phone: (918) 609-8088
Fax: (918) 927-3201
Type: Location
1071 W Blue Starr Dr Ste 105
Claremore, OK 740172869
Phone: (918) 341-0600
Fax: (918) 927-3201
Type: Location
3214 E 21st St
Tulsa, OK 741141811
Phone: (918) 895-7222
Fax: (918) 927-3201
Type: Location
East 81st Street, Oak Tree Village, Tulsa, Tulsa County, Oklahoma, 74012, United States
TULSA, OK 741374299
Phone: (918) 494-2665
Fax: (918) 927-3193
Type: Mailing
524 W Iola St
Broken Arrow, OK 740122564
Phone: (918) 994-5333
Fax: (918) 927-3201
Type: Location
7690 E 126th St S Ste 101
Bixby, OK 740082680
Phone: (918) 394-2770
Fax: (918) 927-3201
Type: Location
205 E B St Rm 211
Jenks, OK 740373906
Phone: (918) 299-7937
Fax: (918) 927-3201
Type: Location
400 S Mission St Ste 101
Sapulpa, OK 740664645
Phone: (918) 927-3365
Fax: (918) 927-3201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
2
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| O20170817003088 | O | Clinic/Group Practice | OK | 2023-08-31 |
| O20170822001759 | O | Physician - Orthopedic/Orthopedic Surgery | OK | 2026-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 74055)
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