MICHAEL BRUNNER (DO) – Family Medicine Physician, NPI 1215166319

MICHAEL BRUNNER (DO) is a healthcare provider. based in Hanover park, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 036.133928 (IL). The NPI Number for MICHAEL BRUNNER (DO) is 1215166319

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BRUNNER (DO)
NPI
1215166319
Phone
(630) 483-3200
Address
1515 E Lake St
Enumeration Date
9 July 2009
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Secondary Phone
8477558208
Graduation Year
2009 (17 years ago)
PAC ID
2961627591
Group Practice PAC ID
7517863178
Professional Enrollment ID
I20140715001536
Address ID
IL601945029HO1786XBLVD400
Telehealth
Yes

Contacts

Secure Messaging
michael.brunner.1@380.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

5,041 FAMILY PRACTICE in IL

Provider Addresses for MICHAEL BRUNNER (DO)

  • 1515 E Lake St

    ATTN: ABMG PRIMARY CARE

    Hanover Park, IL 601334869

    Phone: (630) 483-3200

    Type: Location

  • 1041 W STEARNS RD

    BARTLETT, IL 601034509

    Phone: (630) 716-7500

    Type: Location

  • East Lake Street, Bartlett, Hanover Township, Cook County, Illinois, 60107, United States

    ATTN: ABMG PRIMARY CARE

    HANOVER PARK, IL 601334869

    Phone: (630) 483-3200

    Type: Mailing

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 $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2023-05-02 • Largest payer in this snapshot: Lilly USA, LLC ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$122
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: 2014-07-15

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
I20140715001536IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes276171$0
99213Established patient office or other outpatient visit, 20-29 minutes11795$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit102102$0
99497Advance care planning, first 30 minutes5555$0
G0009Administration of pneumococcal vaccine3636$0
View full utilization report →

Insurance plans in this area (ZIP 60133)

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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: 7517863178View full group profile
NameSpecialtyState
-ARMED FORCES EUROPE
Family PracticeIL
-IL
Geriatric Medicine, Internal MedicineIL
Internal MedicineIL
Geriatric Medicine, Family PracticeIL
Hospitalist, Internal MedicineIL
N E U R O L O G YIL
-IL
Internal MedicineIL

Reviews

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Frequently asked questions

How do I look up MICHAEL BRUNNER (DO) by NPI?
Use NPI 1215166319 when you need to reference MICHAEL BRUNNER (DO) in forms, claims, or directories.
Is MICHAEL BRUNNER (DO) currently active in the NPI registry?
CMS-published data lists MICHAEL BRUNNER (DO) as an active registrant.
What kind of provider is MICHAEL BRUNNER (DO)?
The page reflects Family Medicine Physician for MICHAEL BRUNNER (DO). Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL BRUNNER (DO)?
The snapshot lists Hanover Park, Illinois for MICHAEL BRUNNER (DO); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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