MR. BRETT E WILLDEN (D.O.) – Family Medicine Physician, NPI 1174515134
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,260 FAMILY PRACTICE in AZ
Provider Addresses for MR. BRETT E WILLDEN (D.O.)
2196 E WILLIAMS FIELD RD STE 116
GILBERT, AZ 852950755
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
2525, West Carefree Highway, Phoenix, Maricopa County, Arizona, 85086, United States
BLDG 1 STE 102
PHOENIX, AZ 85085
Phone: (623) 434-5748
Fax: (623) 434-5751
Type: Mailing
4545 E SOUTHERN AVE STE 103
MESA, AZ 852062677
Phone: (480) 981-6100
Fax: (480) 981-5501
Type: Mailing
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone: (415) 658-6791
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $331.
Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($135).
Total Amount
$331
General + Research + Ownership
Payments
14
Total payment records
General Amount
$331
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-02-06
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 |
|---|---|---|---|---|
| I20040206000836 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 115 | 96 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 45 | 45 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $0 |
Insurance plans in this area (ZIP 85295)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| Nurse Practitioner | ID | |
| Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| - | KS | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | AZ | |
| Family Practice | AZ | |
| Physician Assistant | CA |
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