BRETT WAYNE MARTINDALE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1164860573

BRETT WAYNE MARTINDALE (MD) is a healthcare provider. based in Denver, Colorado. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 9093263-1205 (UT). The NPI Number for BRETT WAYNE MARTINDALE (MD) is 1164860573

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
BRETT WAYNE MARTINDALE (MD)
NPI
1164860573
Phone
(801) 475-3300
Address
PO BOX 5546
Enumeration Date
7 June 2013
Last Update Date
16 June 2018

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8014753300
Graduation Year
2013 (13 years ago)
PAC ID
0547586265
Group Practice PAC ID
1658781422
Professional Enrollment ID
I20150224000218
Address ID
UT844034303OG4700XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for BRETT WAYNE MARTINDALE (MD)

  • PO BOX 5546

    DENVER, CO 802175546

    Phone: (801) 475-3300

    Fax: (801) 475-3301

    Type: Mailing

  • 4700 HARRISON BLVD

    OGDEN, UT 844034303

    Phone: (801) 475-3300

    Fax: (801) 475-3301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($39).

Total Amount

$111

General + Research + Ownership

Payments

6

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-02-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150224000218IFamily PracticeUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg69396$0
J1100Injection, dexamethasone sodium phosphate, 1 mg22119$0
99214Established patient office or other outpatient visit, 30-39 minutes206134$0
20610Aspiration and/or injection of fluid from large joint11057$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose7721$0
View full utilization report →

Insurance plans in this area (ZIP 80217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658781422View full group profile
NameSpecialtyState
Physician AssistantUT
P O D I A T R YCO
D E R M A T O L O G YCO
Physician AssistantUT
Nurse PractitionerUT
Qualified Speech Language PathologistCO
N E U R O L O G YCO
Neurology, Sleep MedicineCO
Nurse PractitionerUT
Physician AssistantCO

Reviews

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Frequently asked questions

How is BRETT WAYNE MARTINDALE (MD) identified in CMS data?
CMS-hosted NPPES data lists BRETT WAYNE MARTINDALE (MD) with NPI 1164860573.
Is BRETT WAYNE MARTINDALE (MD) listed as active for patients and plans?
The listing shows BRETT WAYNE MARTINDALE (MD) as active in the NPI system.
What taxonomy line describes BRETT WAYNE MARTINDALE (MD)?
For research purposes, treat BRETT WAYNE MARTINDALE (MD) as Sports Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BRETT WAYNE MARTINDALE (MD)?
BRETT WAYNE MARTINDALE (MD)'s geographic hint is Denver, Colorado in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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