BRANDON HOWARD FORESTER (P.A.) – Surgical Physician Assistant, NPI 1104124007
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for BRANDON HOWARD FORESTER (P.A.)
3030 N CENTRAL AVE STE 1001
PHOENIX, AZ 850122716
Phone: (602) 406-4786
Fax: (916) 636-4358
Type: Mailing
500 W THOMAS RD STE 800
PHOENIX, AZ 85013
Phone: (602) 406-2663
Fax: (602) 406-6368
Type: Location
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
Phone: (602) 839-2000
Type: Location
21531 N 61ST ST
PHOENIX, AZ 850545813
Phone: (480) 385-8583
Type: Mailing
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: 2012-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20120502000275 | I | Physician Assistant | AZ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 85012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Hand Surgery | AZ | |
| Occupational Therapist In Private Practice | SC | |
| Physician Assistant | IN | |
| Orthopedic Surgery, Hand Surgery | CA | |
| Plastic And Reconstructive Surgery, Hand Surgery | AZ | |
| Physician Assistant | AZ | |
| Occupational Therapist In Private Practice | FL | |
| Occupational Therapist In Private Practice | AZ | |
| - | AZ | |
| Plastic And Reconstructive Surgery, Hand Surgery | AZ |
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