BRENT A RUDISEL (D.O.) – Emergency Medicine Physician, NPI 1477652287
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRENT A RUDISEL (D.O.)
1201 Pine St
Eldorado, IL 629301634
Phone: (618) 273-3361
Fax: (618) 273-2571
Type: Location
503, North 1st Street, Fairfield, Wayne County, Illinois, 62837, United States
FAIRFIELD, IL 628372443
Phone: (618) 842-2491
Fax: (618) 842-2497
Type: Mailing
11523 WILDLIFE CT
ZIONSVILLE, IN 460772205
Phone: (317) 413-9112
Type: Mailing
2412 E MAIN ST
PLAINFIELD, IN 461682706
Phone: (317) 204-6910
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040924000223 | I | Emergency Medicine | IL | TBD |
| I20101015000324 | I | Emergency Medicine | IN | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 92 | 82 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 33 | 27 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 33 | 31 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 19 | $0 |
Insurance plans in this area (ZIP 62930)
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Group practice members
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