DR. RENAE LYNE MAYER M.D.
NPI 1093752503
Internal Medicine in Tulsa, OK

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
8803 S 101ST EAST AVE, STE 130, TULSA, OK 74133(918) 579-3850(918) 294-6929 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Renae Lyne Mayer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RENAE LYNE MAYER M.D. (NPI 1093752503) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (22105) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1997).

NPPES Registry Identity

NPI1093752503
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RENAE LYNE MAYERCredential: M.D.
Location Address8803 S 101ST EAST AVE, STE 130Tulsa, OK 74133-5726
Mailing Address8803 S 101st East Ave, Ste 130Tulsa, OK 74133-5726 · (918) 579-3850 · Fax (918) 294-6929
Fax(918) 294-6929
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1997
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 30, 2014
NPI 1093752503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 22105
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8803 S 101ST EAST AVE, Tulsa, OK 74133

Other Identifiers 3

Medicare UPINH98594OK
Medicaid100186290AOK
Medicare PIN325612YLV0OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Renae Lyne Mayer M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224923032
PECOS Enrollment IDI20140908001113
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
251 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Surgical Assistant)
8803 S 101ST EAST AVE, STE 320
TULSA, OK 74133
Clinic/Center (Ambulatory Surgical)
8803 S 101ST EAST AVE, SUITE 160
TULSA, OK 74133
Family Medicine
8803 S 101ST EAST AVE, SUITE 320
TULSA, OK 74133
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)
8803 S 101ST EAST AVE, SUITE#290
TULSA, OK 74133
Orthopaedic Surgery
8803 S 101ST EAST AVE, STE 300
TULSA, OK 74133
Internal Medicine (Pulmonary Disease)
8803 S 101ST EAST AVE, SUITE 395
TULSA, OK 74133
Dermatology (MOHS-Micrographic Surgery)
8803 S 101ST EAST AVE, SUITE 335
TULSA, OK 74133
Pediatrics (Adolescent Medicine)
8803 S 101ST EAST AVE, STE 200
TULSA, OK 74133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renae Mayer's NPI number?

The NPI number for Renae Mayer is 1093752503. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Renae Mayer located?

Renae Mayer practices at 8803 S 101st East Ave Ste 130, Tulsa, OK 74133. The listed phone number is (918) 579-3850.

What is Renae Mayer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Renae Mayer enrolled in Medicare?

Yes. Renae Mayer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Renae Mayer affiliated with any hospitals?

According to CMS data, Renae Mayer is affiliated with Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Renae Mayer was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.