HOLLY BROCKMAN (M.D.) – Orthopaedic Surgery Physician, NPI 1497907463
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for HOLLY BROCKMAN (M.D.)
6712 N CONVENT ST
BOURBONNAIS, IL 609141528
Phone: (815) 928-8050
Fax: (815) 928-8932
Type: Location
PO BOX 19679
SPRINGFIELD, IL 627949679
Phone: (217) 545-8000
Fax: (217) 545-1159
Type: Mailing
747, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States
5TH FLOOR
SPRINGFIELD, IL 627026700
Phone: (217) 545-8000
Fax: (217) 545-1159
Type: Location
900 RAND RD STE 300
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Fax: (847) 929-1154
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,352.
Total Amount is formed as General ($1,352) + Research ($0) + Ownership ($0) = $1,352.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,181).
Total Amount
$1,352
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,352
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,181 |
| DePuy Synthes Sales Inc. | $170 |
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: 2014-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (957 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20141017001593 | I | Orthopedic Surgery | IL | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 181 | 91 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 93 | 23 | $0 |
| 73552 | X-ray of thigh bone, minimum 2 views | 52 | 17 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 48 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 35 | $0 |
Insurance plans in this area (ZIP 60914)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Sports Medicine, Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.