MR. COREY AUSTIN BROOKS (PA) – Physician Assistant, NPI 1134466485

MR. COREY AUSTIN BROOKS (PA) is a healthcare provider. based in Belleville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085004575 (IL). The NPI Number for MR. COREY AUSTIN BROOKS (PA) is 1134466485

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. COREY AUSTIN BROOKS (PA)
NPI
1134466485
Phone
(618) 222-4701
Address
180 S 3RD ST STE 104
Enumeration Date
7 January 2013
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143627200
Graduation Year
2012 (14 years ago)
PAC ID
3779738216
Group Practice PAC ID
4789945163
Professional Enrollment ID
I20130306000471
Address ID
IL622692988SH1404XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
corey.brooks.1@9559.direct.athenahealth.com
FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MR. COREY AUSTIN BROOKS (PA)

  • 180 S 3RD ST STE 104

    BELLEVILLE, IL 622201952

    Phone: (618) 222-4701

    Fax: (618) 222-4754

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (618) 607-1340

    Fax: (618) 622-9724

    Type: Mailing

  • 1418 CROSS ST

    DIV IM MEDICAL ONCOLOGY, STE 180

    SHILOH, IL 622692914

    Phone: (618) 607-1340

    Fax: (618) 622-9724

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $419.

Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: ABBVIE INC. ($302).

Total Amount

$419

General + Research + Ownership

Payments

24

Total payment records

General Amount

$419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2013-03-06

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
I20130306000471IPhysician AssistantILTBD

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
83036Hemoglobin a1c level4433$0
View full utilization report →

Insurance plans in this area (ZIP 62220)

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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: 4789945163View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerMO
Medical Oncology, Internal Medicine, Hematology/OncologyIL
Nurse PractitionerIL
Medical Oncology, Internal MedicineIL
Radiation OncologyIL
Nurse PractitionerMO
Radiation OncologyIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Radiation OncologyIL

Reviews

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Frequently asked questions

Is there an official ID for MR. COREY AUSTIN BROOKS (PA) in U.S. healthcare records?
The official identifier for MR. COREY AUSTIN BROOKS (PA) is NPI 1134466485.
Is MR. COREY AUSTIN BROOKS (PA) still an active registrant?
MR. COREY AUSTIN BROOKS (PA) carries an active NPI according to the public dataset.
What clinical focus is listed for MR. COREY AUSTIN BROOKS (PA)?
At a glance, MR. COREY AUSTIN BROOKS (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. COREY AUSTIN BROOKS (PA)?
Directory geography for MR. COREY AUSTIN BROOKS (PA) centers on Belleville, Illinois.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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