MR. BRETT GERALD BAGLEY (P.A. - CERTIFIED) – Medical Physician Assistant, NPI 1932254133
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for MR. BRETT GERALD BAGLEY (P.A. - CERTIFIED)
Trejo Street, Rexburg, Madison County, Idaho, 83440, United States
REXBURG, ID 834405405
Phone: (208) 359-2263
Fax: (208) 359-2042
Type: Mailing
556, Trejo Street, Rexburg, Madison County, Idaho, 83440, United States
SUITE B
REXBURG, ID 83440
Phone: (208) 359-2263
Fax: (208) 359-2042
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $139.
Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: PFIZER INC. ($78).
Total Amount
$139
General + Research + Ownership
Payments
6
Total payment records
General Amount
$139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $78 |
| Lilly USA, LLC | $44 |
| Amgen Inc. | $17 |
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: 2004-10-27
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 |
|---|---|---|---|---|
| I20041027001249 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 283 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 175 | 102 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 125 | 87 | $0 |
| 11300 | Shaving of skin growth of body, arms, or legs, 0.5 cm or less | 87 | 45 | $0 |
| 11310 | Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less | 46 | 34 | $0 |
Insurance plans in this area (ZIP 83440)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 17003 | Destruction of 2-14 skin growths | 56 | 20 |
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