MARK STANLEY MAYFIELD (MD) – Family Medicine Physician, NPI 1376567081
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARK STANLEY MAYFIELD (MD)
100 BOURLAND RD STE 150
KELLER, TX 762483595
Phone: (817) 753-6250
Fax: (817) 431-1441
Type: Mailing
104 Wall St
Poteau, OK 749534405
Phone: (918) 635-3555
Fax: (918) 635-3483
Type: Location
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone: (888) 987-1151
Type: Mailing
4629 NW 23RD ST
OKLAHOMA CITY, OK 731272103
Phone: (405) 251-8880
Fax: (405) 665-7024
Type: Location
104 WALL ST
POTEAU, OK 749534405
Phone: (918) 635-3559
Fax: (918) 635-3483
Type: Mailing
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: 2021-10-06
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 |
|---|---|---|---|---|
| I20211006002957 | I | Family Practice | 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 76248)
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