BRANDON BOCKEWITZ (MD) – Sports Medicine (Family Medicine) Physician, NPI 1619199627

BRANDON BOCKEWITZ (MD) is a healthcare provider. based in Chicago, Illinois. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036121479 (IL). The NPI Number for BRANDON BOCKEWITZ (MD) is 1619199627

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON BOCKEWITZ (MD)
NPI
1619199627
Phone
(309) 672-4809
Address
5100 RELIABLE PKWY
Enumeration Date
2 May 2007
Last Update Date
7 January 2020

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096724144
Graduation Year
2006 (20 years ago)
PAC ID
4789731571
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20090414000357
Address ID
IL616360001PE221XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

340 SPORTS MEDICINE in IL

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Provider Addresses for BRANDON BOCKEWITZ (MD)

  • A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States

    CHICAGO, IL 606860001

    Phone: (309) 672-4809

    Type: Mailing

  • North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616145021

    Phone: (309) 693-2020

    Fax: (309) 683-8850

    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: 2009-04-14

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
I20090414000357ISports MedicineILTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,914171$0
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1,32013$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance276150$0
99213Established patient office or other outpatient visit, 20-29 minutes166135$0
99203New patient office or other outpatient visit, 30-44 minutes102102$0
View full utilization report →

Insurance plans in this area (ZIP 60686)

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Provider's Procedures

BRANDON BOCKEWITZ (MD) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SPORTS MEDICINEIL90670Pneumococcal vaccine for injection into muscle2222

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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Does BRANDON BOCKEWITZ (MD) have a public NPI I can cite?
Public records show BRANDON BOCKEWITZ (MD) under NPI 1619199627.
Quick check: is BRANDON BOCKEWITZ (MD) active?
Public NPPES data shows BRANDON BOCKEWITZ (MD) with an active NPI status right now.
Which specialty label fits BRANDON BOCKEWITZ (MD)?
NPPES ties BRANDON BOCKEWITZ (MD) to Sports Medicine (Family Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRANDON BOCKEWITZ (MD)?
BRANDON BOCKEWITZ (MD) is associated with Chicago, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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