MR. BRIAN ROBERT HACKETT (PA-C) – Surgical Physician Assistant, NPI 1184904179

MR. BRIAN ROBERT HACKETT (PA-C) is a healthcare provider. based in Rockledge, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9106102 (FL). The NPI Number for MR. BRIAN ROBERT HACKETT (PA-C) is 1184904179

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN ROBERT HACKETT (PA-C)
NPI
1184904179
Phone
(321) 434-3455
Address
3300 S FISKE BLVD
Enumeration Date
22 August 2011
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3215411777
Graduation Year
2011 (15 years ago)
PAC ID
6507037157
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20110913000014
Address ID
FL329358663ME240XXRDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MR. BRIAN ROBERT HACKETT (PA-C)

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 434-3455

    Type: Mailing

  • 1350 HICKORY ST

    MELBOURNE, FL 329013224

    Phone: (321) 434-3455

    Fax: (321) 434-3456

    Type: Location

  • 1350 Hickory St

    Melbourne, FL 329013224

    Phone: (321) 434-3455

    Fax: (321) 434-3456

    Type: Location

  • 240 N WICKHAM RD STE 104

    MELBOURNE, FL 329358663

    Phone: (321) 541-1777

    Fax: (321) 541-1786

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($70).

Total Amount

$153

General + Research + Ownership

Payments

5

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-09-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110913000014IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3535$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2523$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2424$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2318$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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Provider's Procedures

MR. BRIAN ROBERT HACKETT (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL27447Repair of knee joint2626

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

What federal number belongs to MR. BRIAN ROBERT HACKETT (PA-C)?
The federal identifier for MR. BRIAN ROBERT HACKETT (PA-C) is NPI 1184904179.
Is MR. BRIAN ROBERT HACKETT (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. BRIAN ROBERT HACKETT (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for MR. BRIAN ROBERT HACKETT (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MR. BRIAN ROBERT HACKETT (PA-C)?
The snapshot lists Rockledge, Florida for MR. BRIAN ROBERT HACKETT (PA-C); download NPPES for the complete set.
Is MR. BRIAN ROBERT HACKETT (PA-C) a real provider?
This page reflects official NPPES data for NPI 1184904179. Always confirm identity and privileges with the practice and licensing boards.

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