DR. KENT THOMAS BRAEUTIGAM (D.O.) – General Practice Physician, NPI 1063437861
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for DR. KENT THOMAS BRAEUTIGAM (D.O.)
705 WELLS RD STE 300
ORANGE PARK, FL 320732982
Phone: (904) 282-6331
Fax: (904) 282-4117
Type: Mailing
7855, Argyle Forest Boulevard, Jacksonville, Duval County, Florida, 32244, United States
STE. 101
JACKSONVILLE, FL 322445596
Phone: (904) 282-6331
Fax: (904) 282-4117
Type: Mailing
Springfield Lake Road Park, 419, Springfield Lake, Middle Sackville, Halifax Regional Municipality, Halifax County, Nova Scotia, B4E 3K2, Canada
MIDDLEBURG, FL 320685708
Phone: (904) 282-5474
Fax: (904) 282-5824
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 241 Open Payments records for all available years, with a total value of $4,281.
Total Amount is formed as General ($4,281) + Research ($0) + Ownership ($0) = $4,281.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($854).
Total Amount
$4,281
General + Research + Ownership
Payments
241
Total payment records
General Amount
$4,281
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $854 |
| Otsuka America Pharmaceutical, Inc. | $305 |
| Amgen Inc. | $210 |
| AstraZeneca Pharmaceuticals LP | $194 |
| IDORSIA PHARMACEUTICALS US INC | $156 |
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: 2010-03-15
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 |
|---|---|---|---|---|
| I20100315000113 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 714 | 316 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 225 | 225 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 162 | 162 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 96 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 69 | 62 | $0 |
Insurance plans in this area (ZIP 32073)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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