BROOKE DYAN TOLLAND (PA-C) – Physician Assistant, NPI 1114231628
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for BROOKE DYAN TOLLAND (PA-C)
1890 Lpga Blvd Ste 240
Daytona Beach, FL 321177131
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1165 Dunlawton Ave Ste 102
Port Orange, FL 321272924
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1075 Mason Ave
Daytona Beach, FL 321174611
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1865 LPGA BLVD
DAYTONA BEACH, FL 321177108
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Mailing
1075 MASON AVE
DAYTONA BEACH, FL 321174611
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Mailing
17 Old Kings Rd N Ste K
Palm Coast, FL 321378283
Phone: (386) 255-4596
Fax: (386) 258-3561
Type: Location
1175 Dunlawton Ave Ste 1
Port Orange, FL 321274741
Phone: (386) 255-4596
Fax: (386) 258-3561
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: 2010-09-15
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 |
|---|---|---|---|---|
| I20100915000759 | 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.
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 | 65 | 60 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 30 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 21 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 21 | 20 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 12 | 11 | $0 |
Insurance plans in this area (ZIP 32117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Orthopedic Surgery | FL | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Orthopedic Surgery | FL | |
| Occupational Therapist In Private Practice | FL |
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