MR. BRENT SUMMERS (PA-C) – Physician Assistant, NPI 1043080823
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. BRENT SUMMERS (PA-C)
4529 RIVERS LANDING DR
TALLAHASSEE, FL 323038967
Phone: (386) 916-1055
Type: Mailing
1300 MICCOSUKEE RD
TALLAHASSEE, FL 323085054
Phone: (850) 431-5134
Type: Location
2100 Centerville Rd
Tallahassee, FL 323084379
Phone: (850) 216-0100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $635.
Total Amount is formed as General ($635) + Research ($0) + Ownership ($0) = $635.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($286).
Total Amount
$635
General + Research + Ownership
Payments
18
Total payment records
General Amount
$635
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $286 |
| PFIZER INC. | $99 |
| Novo Nordisk Inc | $97 |
| Bolton Medical Inc | $33 |
| E.R. Squibb & Sons, L.L.C. | $28 |
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: 2024-01-19
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 |
|---|---|---|---|---|
| I20240119000728 | I | Physician Assistant | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Physician Assistant | FL | |
| E N D O C R I N O L O G Y | MN | |
| - | FL | |
| Internal Medicine | FL | |
| - | IA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | OH | |
| - | FL |
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