Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Samuel Jay Pangburn , DO

Surgery • Tulsa, OK

Active NPI 1922085216 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10505 E 91st St Ste 203
Tulsa, OK 74133

Call 9183073120 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10505 E 91st St Ste 203

Tulsa, OK 74133

Telephone 9183073120
Fax 9183073121
Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Antonio, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Warren Clinic Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1997

Medicare patients

135 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $42,886 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $32,200 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

361 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,668 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $115.44 across 4 records.

By nature of payment

  • Food and Beverage: $115.44 across 4 records.

Reporting-company totals

  • VERTEX PHARMACEUTICALS INCORPORATED: $47.27 across 2 records.
  • Ethicon Inc.: $37.74 across 1 record.
  • Biocomposites Inc: $30.43 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

29 years (graduated 1997)

CMS Doctors and Clinicians data list 1997 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Pangburn has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Pangburn as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tulsa and Oklahoma

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Surgery in Tulsa, OK (2024, 44 clinicians with data). Median for this group: 207. Middle half: 108 to 306.

Fewer Medicare Part B services than 60% of clinicians listed under Surgery in Oklahoma (2024, 178 clinicians with data). Median for this group: 230. Middle half: 113 to 458.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Surgery in Tulsa, OK (2024, 44 clinicians with data). Median for this group: $31,365. Middle half: $12,242 to $51,558.

Close to the middle for clinicians listed under Surgery in Oklahoma (2024, 178 clinicians with data). Median for this group: $33,115. Middle half: $12,544 to $66,680.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Surgery in Tulsa, OK (2024, 44 clinicians with data). Median for this group: $23,960. Middle half: $9,248 to $39,617.

Close to the middle for clinicians listed under Surgery in Oklahoma (2024, 178 clinicians with data). Median for this group: $25,172. Middle half: $9,908 to $51,134.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Surgery in Tulsa, OK (2024, 40 clinicians with data). Median for this group: 133. Middle half: 56 to 272.

More Part D prescriptions than 85% of clinicians listed under Surgery in Oklahoma (2024, 174 clinicians with data). Median for this group: 109. Middle half: 40 to 246.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Surgery in Tulsa, OK (2024, 40 clinicians with data). Median for this group: $1,119. Middle half: $502 to $2,783.

A higher Part D drug cost than 60% of clinicians listed under Surgery in Oklahoma (2024, 174 clinicians with data). Median for this group: $1,077. Middle half: $359 to $5,151.

68 active clinicians are listed under Surgery with a practice address in Tulsa, OK (348 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tulsa

2.9% of these 68 clinicians have the CMS telehealth indicator.

64.7% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $115.44.

Manufacturer Payment Nature Product Type Amount ($)
Ethicon Inc.
Food and Beverage
In-kind items and services
VISTASEAL General $37.74
Biocomposites Inc
Food and Beverage
Cash or cash equivalent
Stimulan General $30.43
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $27.02
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $20.25

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
48 48 $317.00 $155.27
49650 Repair of groin hernia using an endoscope
27 26 $1544.44 $430.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
22 22 $400.00 $204.76
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope
21 21 $1909.85 $670.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $208.00 $99.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $214.00 $119.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
13 13 $306.00 $122.16

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 97 425 $763.35 96
Naproxen Naproxen 85 425 $166.17 83
Promethazine Hcl Promethazine Hcl 85 329 $304.14 83
Tizanidine Hcl Tizanidine Hcl 60 300 $280.09 60
Tramadol Hcl Tramadol Hcl 22 95 $68.08 22
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 12 132 $86.57 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-28
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES OK 3593

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100096880A (OK)
Medicaid ID
171802501 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20041129000529

Enrollment State Jurisdiction

OK

PECOS Control ID

9335100494

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Warren Clinic Inc

6600 S Yale Ave, Tulsa, OK 741363331

Phone: 9184886000

Warren Clinic Inc

6161 S Yale Ave, Tulsa, OK 741361902

Phone: 9185024720

Secondary Practice Locations

8042 Wurzbach Rd, Ste 310

San Antonio, TX 782293818

Phone: 2106145113

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1851431316

Doctor of Medicine (M.D.)

Georgina Mishkin , PA-C

Physician Assistant

NPI 1891313169

Physician Assistant (Certified)

NPI 1679074132

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
📍
Updated Business Mailing Address March 28, 2023

Registered at 6600 S YALE AVE STE 14000, TULSA, OK 741363347 (Tel: 8882470125)

📍
Updated Practice Location March 15, 2019

Registered at 10505 E 91ST ST STE 203, TULSA, OK 74133 (Tel: 9183073120)

📍
Updated Business Mailing Address March 15, 2019

Registered at 6600 S YALE AVE STE 1200, TULSA, OK 741363361 (Tel: 9184886045)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2019

Surgery (license number reported to NPPES: OK 3593)

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NPI Profile Active March 21, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 21, 2012

Registered at 8042 WURZBACH RD, STE 310, SAN ANTONIO, TX 782293818 (Tel: 2106145113)

📍
Business Mailing Address (Initial Record) March 21, 2012

Registered at 8042 WURZBACH RD, STE 310, SAN ANTONIO, TX 782293818 (Tel: 2106145113)

👤
Provider Name / Credentials (Initial Record) March 21, 2012

Recorded as SAMUEL PANGBURN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2012

Surgery (license number reported to NPPES: TX M0211)

🟢
Initial NPI Registration & Enumeration December 28, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922085216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2005
Last Update: March 28, 2023
Sole Proprietor: No

Other Surgery Specialists in Tulsa

All Surgery Specialists in Tulsa

Mailing Address

6600 S Yale Ave Ste 14000

Tulsa, OK 741363347

Phone: 8882470125

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.