METRO TULSA FOOT & ANKLE SPECIALIST PLLC – Foot & Ankle Surgery Podiatrist, NPI 1477588945
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for METRO TULSA FOOT & ANKLE SPECIALIST PLLC
701 W. ELGIN ST
BROKEN ARROW, OK 74012
Phone: (918) 455-2001
Fax: (918) 301-0088
Type: Mailing
East 71st Street, Southbrook II, Tulsa, Tulsa County, Oklahoma, 74133, United States
SUITE 220
TULSA, OK 741366628
Phone: (918) 477-7096
Fax: (918) 477-9362
Type: Mailing
421, West Washington Street, Broken Arrow, Tulsa County, Oklahoma, 74012, United States
BROKEN ARROW, OK 740126450
Phone: (918) 455-2001
Fax: (918) 455-6330
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 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 |
|---|---|---|---|---|
| O20031104000660 | O | Clinic/Group Practice | OK | 2023-08-31 |
| O20100930047441 | O | Physician - Podiatry | OK | 2024-10-31 |
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 74012)
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