MR. BRANDON TIBBITTS (PA-C) – Physician Assistant, NPI 1205276474
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for MR. BRANDON TIBBITTS (PA-C)
113 ELM ST
ENFIELD, CT 06082
Phone: (860) 741-2225
Type: Location
113 ELM ST STE 304
ENFIELD, CT 060823739
Phone: (860) 741-2225
Fax: (860) 741-2229
Type: Mailing
1290 SILAS DEANE HWY
WETHERSFIELD, CT 061094337
Phone: (860) 777-1280
Fax: (860) 777-1276
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 77 Open Payments records for all available years, with a total value of $2,746.
Total Amount is formed as General ($2,746) + Research ($0) + Ownership ($0) = $2,746.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($676).
Total Amount
$2,746
General + Research + Ownership
Payments
77
Total payment records
General Amount
$2,746
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $676 |
| ABBVIE INC. | $494 |
| Janssen Biotech, Inc. | $363 |
| Lilly USA, LLC | $173 |
| UCB, Inc. | $162 |
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: 2021-04-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20131030000765 | I | Physician Assistant | NY | TBD |
| I20170113002067 | I | Physician Assistant | CT | TBD |
| I20210427001045 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 106 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 63 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 63 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 28 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 06082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Nurse Practitioner | MA | |
| Emergency Medicine | CT | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | CT |
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