Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619560984 Individual Practitioner Male Practitioner

Larry Ray Tevebaugh , NURSE PRACTITIONER

Nurse Practitioner • Yukon, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Larry Tevebaugh, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Yukon, OK. With approximately 5 years of clinical experience since completing medical education in 2021, Larry Tevebaugh delivers high-quality medical care to the local community at 4400 GRANT BLVD.

Larry Tevebaugh is affiliated with Optimum Post Acute Care Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4400 Grant Blvd

Yukon, OK 730990037

Telephone 4058305574
Associated Practice Facility / Clinic
🏢 Total Optical Llc Facility NPI 1154941078

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Yukon, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Yukon, OK (715 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tevebaugh (5 Years) 5 Yrs
Yukon Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
132 104 $324.86 $103.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
125 69 $180.00 $62.67

Medical Specialties & State Licenses

CMS Verified: 2026-05-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OK 1619560984

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - General Practice

NUCC Taxonomy Code: 163WG0000X

State License OK R0094181

Definition to come...

Hospital & Practice Group Affiliations

Optimum Post Acute Care Pllc

1501 E 19th St, Edmond, OK 730136618

Phone: 4059142356

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jacinda Hantak , APRN-CNP

Nurse Practitioner - Family

NPI 1184166753

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Brandy Mccalip , APRN

Family Medicine

NPI 1255929436

Advanced Practice Registered Nurse

Milly Cox , NP

Nurse Practitioner - Family

NPI 1558491142

Nurse Practitioner

Ivy Cherian , APRN-CNP

Nurse Practitioner - Primary Care

NPI 1578296042

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Kadi Nail , NP

Nurse Practitioner

NPI 1649769290

Nurse Practitioner

Christine Hauck , APRN

Nurse Practitioner - Family

NPI 1669690269

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 11, 2026

Registered at 4400 GRANT BLVD, YUKON, OK 730990037 (Tel: 4058305574)

📍
Updated Business Mailing Address May 11, 2026

Registered at 4400 GRANT BLVD, YUKON, OK 730990037 (Tel: 4057878550)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2026

Nurse Practitioner (License #1619560984 in OK)

NPI Profile Active February 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2021

Registered at 6600 NW 134TH ST, OKLAHOMA CITY, OK 731425909 (Tel: 4058305574)

📍
Updated Business Mailing Address February 26, 2021

Registered at 6600 NW 134TH ST, OKLAHOMA CITY, OK 731425909 (Tel: 4058305574)

👤
Provider Name / Credentials Updated February 26, 2021

Recorded as LARRY TEVEBAUGH, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2021

Registered Nurse (License #R0094181 in OK)

🟢
Initial NPI Registration & Enumeration February 17, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Larry Tevebaugh. Be the first to share your experience!

Sign in to leave a review for Larry Tevebaugh

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619560984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2021
Last Update: May 11, 2026
Sole Proprietor: No

Mailing Address

4400 Grant Blvd

Yukon, OK 730990037

Phone: 4057878550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.