GORDON BRODIE (M.D) – Family Medicine Physician, NPI 1114995016
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
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Provider Addresses for GORDON BRODIE (M.D)
Joint Readiness Training Center, Connecticut Avenue, Vernon Parish, Louisiana, 71459, United States
VERNON, CT 060662149
Phone: (860) 872-2289
Fax: (860) 896-1425
Type: Mailing
375, East Center Street, Manchester Green, Manchester, Hartford County, Connecticut, 06040, United States
MANCHESTER, CT 060404445
Phone: (860) 646-0166
Fax: (860) 643-7574
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $491.
Total Amount is formed as General ($491) + Research ($0) + Ownership ($0) = $491.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($170).
Total Amount
$491
General + Research + Ownership
Payments
24
Total payment records
General Amount
$491
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
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: 2011-10-21
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 |
|---|---|---|---|---|
| I20111021000546 | I | Family Practice | CT | 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 | 99 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 27 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 17 | 17 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 14 | 11 | $0 |
Insurance plans in this area (ZIP 06066)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CT | 82270 | Stool analysis for blood to screen for colon tumors | 54 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| - | ME | |
| - | CT | |
| - | CT | |
| Clinical Social Worker | CT | |
| - | CT |
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