BRENT M REILLY (PA-C) – Surgical Physician Assistant, NPI 1063586147

BRENT M REILLY (PA-C) is a healthcare provider. based in Bridgeport, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001824 (CT). The NPI Number for BRENT M REILLY (PA-C) is 1063586147

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
BRENT M REILLY (PA-C)
NPI
1063586147
Phone
(203) 576-6000
Address
2800 MAIN ST
Enumeration Date
20 November 2006
Last Update Date
29 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5165623845
Graduation Year
2006 (20 years ago)
PAC ID
3577565787
Group Practice PAC ID
3375701568
Professional Enrollment ID
I20150217000048
Address ID
NY110303816MA350XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,257 PHYSICIAN ASSISTANT in CT

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Provider Addresses for BRENT M REILLY (PA-C)

  • Daniel T Banks Health Science Library, 2800, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States

    ST.VINCENTS MULTISPECIALTY GROUP

    BRIDGEPORT, CT 066064201

    Phone: (203) 576-6000

    Type: Location

  • 6, Laurel Glen Drive, Huntington, Shelton, Naugatuck Valley Planning Region, Connecticut, 06484, United States

    SHELTON, CT 064843651

    Phone:

    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: 2015-02-17

PECOS data refreshed: 2026-06-15

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
I20150217000048IPhysician AssistantNYTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2020$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
27447Replacement of knee joint, both sides of knee1616$0
View full utilization report →

Insurance plans in this area (ZIP 06606)

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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: 3375701568View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)NY
Diagnostic RadiologyNY
-NY
-NY
Infectious DiseaseNC
-NY
-NY
Cardiac Surgery, Vascular SurgeryNY
-CA
-NY

Reviews

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Frequently asked questions

Can I cross-check BRENT M REILLY (PA-C) using NPI 1063586147?
NPI 1063586147 belongs to BRENT M REILLY (PA-C); compare other details if you need extra assurance.
Is there an active status for BRENT M REILLY (PA-C)?
For scheduling context, BRENT M REILLY (PA-C) is shown as active in the registry.
What expertise is attributed to BRENT M REILLY (PA-C)?
BRENT M REILLY (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRENT M REILLY (PA-C) located near Bridgeport?
BRENT M REILLY (PA-C) currently maps to Bridgeport, Connecticut in this extract.
Does BRENT M REILLY (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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