ROBERT BRENTESON (MD) – Internal Medicine Physician, NPI 1972090363
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
90 DIAGNOSTIC RADIOLOGY in AK
Provider Addresses for ROBERT BRENTESON (MD)
3745 Geist Rd
Fairbanks, AK 997093554
Phone: (907) 456-3338
Type: Location
2110 E Northern Lights Blvd Ste 101
Anchorage, AK 995084154
Phone: (907) 644-2997
Type: Location
3765 E Blue Lupine Dr Ste B
Wasilla, AK 996548417
Phone: (907) 373-3700
Type: Location
111, West Fort Street, Boise, Ada County, Idaho, 83702, United States
BOISE, ID 83702
Phone: (208) 422-1314
Fax: (208) 422-1388
Type: Location
6019 WALNUT GROVE RD
MEMPHIS, TN 381202113
Phone: (901) 226-5000
Type: Location
10080 E VALLEY CREST DR
PALMER, AK 996457713
Phone:
Type: Mailing
2751 DEBARR RD STE 360
ANCHORAGE, AK 995086809
Phone: (907) 792-7920
Type: Location
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: 2024-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20230522002796 | I | Diagnostic Radiology | WI | TBD |
| I20230627001825 | I | Diagnostic Radiology | TN | TBD |
| I20240828001473 | I | Diagnostic Radiology | AK | TBD |
| I20241205000098 | I | Diagnostic Radiology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 206 | 173 | $0 |
| 70450 | Ct scan head or brain without contrast | 59 | 58 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 27 | 27 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 25 | 25 | $0 |
| 72125 | Ct scan of upper spine without contrast | 19 | 19 | $0 |
Insurance plans in this area (ZIP 99709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | AK | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | AK | |
| - | AK | |
| Diagnostic Radiology | AK | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | AK | |
| Diagnostic Radiology | AK |
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