MR. MICHAEL JOHNSON BRASK (PA-C) – Medical Physician Assistant, NPI 1497143077
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for MR. MICHAEL JOHNSON BRASK (PA-C)
464 Congress Ave Ste 266
New Haven, CT 065191366
Phone: (203) 737-3622
Type: Location
2216 ARBOR DR
WEST LINN, OR 970681204
Phone: (971) 404-9118
Type: Mailing
1001 N PROVIDENCE DR
NEWBERG, OR 971327485
Phone: (503) 537-1785
Type: Location
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: 2017-12-22
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 |
|---|---|---|---|---|
| I20171222001062 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 43 | 43 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 06519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| P A T H O L O G Y | OR | |
| Internal Medicine | OR | |
| - | OR | |
| P A T H O L O G Y | OR | |
| - | OR | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | OR |
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