BRANDON R. GUMBINER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1154583177

BRANDON R. GUMBINER (DPM) is a healthcare provider. based in Dixon, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016005377 (IL). The NPI Number for BRANDON R. GUMBINER (DPM) is 1154583177

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON R. GUMBINER (DPM)
NPI
1154583177
Phone
(815) 285-5801
Address
215 E 1ST ST STE 310
Enumeration Date
30 June 2008
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152885531
Graduation Year
2007 (19 years ago)
PAC ID
6305979170
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20110829000036
Address ID
IL610213116DI403XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,038 PODIATRY in IL

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Provider Addresses for BRANDON R. GUMBINER (DPM)

  • East 1st Street, Dixon, Lee County, Illinois, 61021, United States

    DIXON, IL 610213190

    Phone: (815) 285-5801

    Fax: (815) 285-5699

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,796.

Total Amount is formed as General ($1,796) + Research ($0) + Ownership ($0) = $1,796.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Stryker Corporation ($876).

Total Amount

$1,796

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,796

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2011-08-29

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
I20110829000036IPodiatryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes518292$0
11721Removal of fingernails or toenails, 6 or more nails387145$0
99214Established patient office or other outpatient visit, 30-39 minutes179141$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
99212Established patient office or other outpatient visit, 10-19 minutes5847$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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Provider's Procedures

BRANDON R. GUMBINER (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIN11056Removal of 2 to 4 thickened skin growths2211
PODIATRYIN73630X-ray of foot, minimum of 3 views11572

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: 3678889789View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BRANDON R. GUMBINER (DPM) for billing?
Administrative and clinical systems typically use NPI 1154583177 for BRANDON R. GUMBINER (DPM).
Is BRANDON R. GUMBINER (DPM)'s NPI status active today?
Active status means BRANDON R. GUMBINER (DPM)'s NPI record is not deactivated in the public file.
What type of care does BRANDON R. GUMBINER (DPM) provide?
BRANDON R. GUMBINER (DPM)'s profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to BRANDON R. GUMBINER (DPM)?
BRANDON R. GUMBINER (DPM) shows a connection to Dixon, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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