DR. TERESA MARIE BRENNAN (D.O.) – Family Medicine Physician, NPI 1154391753
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. TERESA MARIE BRENNAN (D.O.)
100, Arricola Avenue, Davis Shores, St. Augustine, St. Johns County, Florida, 32080, United States
ST AUGUSTINE, FL 320804515
Phone: (904) 797-5740
Fax: (904) 797-5749
Type: Mailing
2460 #5 OLD MOULTRIE AVENUE
ST. AUGUSTINE, FL 320864198
Phone: (904) 797-5740
Fax: (904) 797-5749
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $474.
Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: AXOGEN ($128).
Total Amount
$474
General + Research + Ownership
Payments
7
Total payment records
General Amount
$474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $128 |
| Relievant Medsystems, Inc. | $124 |
| Boston Scientific Corporation | $120 |
| IDORSIA PHARMACEUTICALS US INC | $83 |
| PFIZER INC. | $19 |
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: 2012-11-07
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 |
|---|---|---|---|---|
| I20121107000267 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 36 | $0 |
Insurance plans in this area (ZIP 32080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| General Practice | FL | |
| General Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| Family Practice | FL | |
| Preventive Medicine, General Practice | FL |
Reviews
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