NICHOLAS CHRISTOPHER BRISSEY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1801258629

NICHOLAS CHRISTOPHER BRISSEY (DPM) is a healthcare provider. based in Bloomington, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016-005769 (IL). The NPI Number for NICHOLAS CHRISTOPHER BRISSEY (DPM) is 1801258629

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS CHRISTOPHER BRISSEY (DPM)
NPI
1801258629
Phone
(309) 663-6461
Address
1111 Trinity Ln Ste 111
Enumeration Date
22 March 2016
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185465600
Graduation Year
2015 (11 years ago)
PAC ID
6901194091
Group Practice PAC ID
7719898071
Professional Enrollment ID
I20180814000504
Address ID
IL624541114RO1000XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:10State licenses:3Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for NICHOLAS CHRISTOPHER BRISSEY (DPM)

  • 1111 Trinity Ln Ste 111

    Bloomington, IL 617048112

    Phone: (309) 663-6461

    Type: Location

  • PO BOX 78534

    MILWAUKEE, WI 532788534

    Phone: (153) 989-4918

    Type: Mailing

  • 650 S Randall Rd

    Algonquin, IL 60102

    Phone: (815) 398-9491

    Type: Location

  • 650, Randall Road, Creekside of Algonquin, Algonquin, McHenry County, Illinois, 60102, United States

    ALGONQUIN, IL 60102

    Phone: (815) 398-9491

    Type: Location

  • 1000 N ALLEN ST

    ROBINSON, IL 624541114

    Phone: (618) 544-3131

    Fax: (618) 546-2603

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $2,445.

Total Amount is formed as General ($2,445) + Research ($0) + Ownership ($0) = $2,445.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($2,408).

Total Amount

$2,445

General + Research + Ownership

Payments

26

Total payment records

General Amount

$2,445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-08-14

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
I20180814000504IPodiatryILTBD

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 minutes11070$0
99204New patient office or other outpatient visit, 45-59 minutes8888$0
J1100Injection, dexamethasone sodium phosphate, 1 mg6411$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6411$0
99213Established patient office or other outpatient visit, 20-29 minutes3531$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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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: 7719898071View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIN
Nurse PractitionerIL
P A T H O L O G YOH
Interventional Radiology, Diagnostic RadiologyPA
Emergency MedicineIL
Family Practice, Obstetrics/GynecologyIN
Orthopedic SurgeryWI
Family Practice, Hospitalist, Family PracticeIN
Internal Medicine, Emergency MedicineMS
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What number should I use to identify NICHOLAS CHRISTOPHER BRISSEY (DPM) for billing?
Administrative and clinical systems typically use NPI 1801258629 for NICHOLAS CHRISTOPHER BRISSEY (DPM).
Quick check: is NICHOLAS CHRISTOPHER BRISSEY (DPM) active?
Public NPPES data shows NICHOLAS CHRISTOPHER BRISSEY (DPM) with an active NPI status right now.
What services align with NICHOLAS CHRISTOPHER BRISSEY (DPM)'s listing?
NICHOLAS CHRISTOPHER BRISSEY (DPM)'s public classification highlights Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is NICHOLAS CHRISTOPHER BRISSEY (DPM) tied to Bloomington, Illinois?
If you are local to Bloomington, Illinois, NICHOLAS CHRISTOPHER BRISSEY (DPM) may be relevant to your search.
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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