BRETT T MUMFORD (D.O.) – Emergency Medicine Physician, NPI 1164463113
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for BRETT T MUMFORD (D.O.)
119 N Wardwell Ave
Emmett, ID 836173040
Phone: (208) 365-6311
Fax: (208) 365-1003
Type: Location
West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States
COEUR D ALENE, ID 838146051
Phone: (208) 476-5777
Fax: (208) 476-5385
Type: Mailing
Clearwater Valley Hospital, 301, Cedar Street, Orofino, Clearwater County, Idaho, 83544, United States
OROFINO, ID 835449029
Phone: (208) 476-5777
Fax: (208) 476-5385
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $743.
Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($134).
Total Amount
$743
General + Research + Ownership
Payments
42
Total payment records
General Amount
$743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $134 |
| ABBVIE INC. | $112 |
| Mylan Specialty L.P. | $58 |
| PFIZER INC. | $50 |
| AstraZeneca Pharmaceuticals LP | $48 |
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: 2017-07-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20031223000750 | I | Emergency Medicine | ID | TBD |
| I20071023000415 | I | Hospitalist | OR | TBD |
| I20170720000018 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | 12 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 21 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| - | PA | |
| Nurse Practitioner | ID | |
| - | ID | |
| Emergency Medicine | CA | |
| Family Practice | ID |
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