PROVECTUS DIAGNOSTICS LLC
NPI 1104213156
Clinical Medical Laboratory in Tulsa, OK
About Provectus Diagnostics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVECTUS DIAGNOSTICS LLC (NPI 1104213156) is a healthcare organization registered as a clinical medical laboratory in Tulsa, Oklahoma and active in the NPI registry since April 2015. The organization lists Steven T Mccormack, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Provectus Diagnostics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Provectus Diagnostics LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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 Provectus Diagnostics LLC's NPI number?
The NPI number for Provectus Diagnostics LLC is 1104213156. It was assigned to this organization in the NPPES registry on April 16, 2015.
Where is Provectus Diagnostics LLC located?
Provectus Diagnostics LLC is located at 4150 S 100th East Ave Suite 105, Tulsa, OK 74146. The listed phone number is (918) 949-4526.
What is Provectus Diagnostics LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Provectus Diagnostics LLC enrolled in Medicare?
Yes. Provectus Diagnostics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Provectus Diagnostics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Provectus Diagnostics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Certified Registered Nurse Anesthetist (CRNA) (4) and Family Practice (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Provectus Diagnostics LLC accept?
Health plans from Mending Health list Provectus Diagnostics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Provectus Diagnostics LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.