PET Imaging of Tulsa – Radiology Clinic/Center, NPI 1669425187
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PET Imaging of Tulsa
6711 S YALE AVE STE 104
TULSA, OK 741363317
Phone: (918) 523-7200
Fax: (918) 523-7201
Type: Mailing
South Yale Avenue, Bixby, Tulsa, Oklahoma, 74008, United States
SUITE 104
TULSA, OK 741363313
Phone: (918) 523-7200
Fax: (918) 523-7201
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: 2024-06-21
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 |
|---|---|---|---|---|
| O20041027000166 | O | Independent Diagnostic Testing Facility (Idtf) | OK | TBD |
| O20240621003679 | O | Clinic/Group Practice | DC | 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 |
|---|---|---|---|---|
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 695 | 78 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 483 | 347 | $0 |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 346 | 89 | $0 |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 339 | 16 | $0 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 195 | 181 | $0 |
Insurance plans in this area (ZIP 74136)
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