DR. BRADLEY P BRETZ (MD) – Anesthesiology Physician, NPI 1124016464
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. BRADLEY P BRETZ (MD)
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 381-2222
Type: Mailing
200, West State Street, Downtown, Boise, Ada County, Idaho, 83702, United States
BOISE, ID 837022200
Phone: (208) 336-0895
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($46).
Total Amount
$46
General + Research + Ownership
Payments
1
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $46 |
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: 2009-05-11
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 |
|---|---|---|---|---|
| I20090511000588 | I | Pain Management | ID | 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 |
|---|---|---|---|---|
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 65 | 65 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 46 | 46 | $0 |
| 64454 | Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 43 | 43 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 28 | 27 | $0 |
| 23350 | Injection of contrast for imaging of shoulder joint | 12 | 12 | $0 |
Insurance plans in this area (ZIP 83712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | ID | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 45 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| A N E S T H E S I O L O G Y | ID | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| A N E S T H E S I O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| - | ID |
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