DR. JEFFREY GRAY BRABHAM (MD) – Radiation Oncology Physician, NPI 1639336233

DR. JEFFREY GRAY BRABHAM (MD) is a healthcare provider. based in Daytona beach, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. ME103670 (FL). The NPI Number for DR. JEFFREY GRAY BRABHAM (MD) is 1639336233

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY GRAY BRABHAM (MD)
NPI
1639336233
Phone
(386) 425-4210
Address
303 N Clyde Morris Blvd
Enumeration Date
21 May 2008
Last Update Date
4 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3527423045
Graduation Year
2004 (22 years ago)
PAC ID
3274687694
Group Practice PAC ID
9436469319
Professional Enrollment ID
I20090820000150
Address ID
FL327784361TA2010XLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

Provider Addresses for DR. JEFFREY GRAY BRABHAM (MD)

  • 303 N Clyde Morris Blvd

    Daytona Beach, FL 321142709

    Phone: (386) 425-4210

    Fax: (386) 425-7725

    Type: Location

  • Nightingale Lane, Tavares, Lake County, Florida, 32278, United States

    TAVARES, FL 327784361

    Phone: (352) 742-3045

    Fax: (352) 742-3169

    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 $215.

Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).

Total Amount

$215

General + Research + Ownership

Payments

5

Total payment records

General Amount

$215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

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: 2009-08-20

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
I20090820000150IRadiation OncologyFLTBD

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
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev1,529218$0
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session70535$0
77336Continuing radiation therapy consultation per week582262$0
77014Ct guidance for insertion of radiation therapy fields56730$0
77427Radiation treatment management, 5 treatment sessions436125$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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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: 9436469319View full group profile
NameSpecialtyState
Radiation OncologyFL
Radiation OncologyFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JEFFREY GRAY BRABHAM (MD)?
NPI 1639336233 is assigned to DR. JEFFREY GRAY BRABHAM (MD) under the national enumeration system.
Is DR. JEFFREY GRAY BRABHAM (MD) currently active in the NPI registry?
CMS-published data lists DR. JEFFREY GRAY BRABHAM (MD) as an active registrant.
Does DR. JEFFREY GRAY BRABHAM (MD) list a primary specialty?
If you are matching referrals, note Radiation Oncology Physician for DR. JEFFREY GRAY BRABHAM (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JEFFREY GRAY BRABHAM (MD)?
The snapshot lists Daytona Beach, Florida for DR. JEFFREY GRAY BRABHAM (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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