DR. MARSHALL F BRUSTEIN (MD) – Orthopaedic Surgery Physician, NPI 1821165978
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 DR. MARSHALL F BRUSTEIN (MD)
304, West Hay Street, Decatur, Macon County, Illinois, 62526, United States
SUITE 112
DECATUR, IL 625266328
Phone: (217) 872-8204
Fax: (217) 872-4897
Type: Mailing
PO BOX 19248
SPRINGFIELD, IL 627949248
Phone: (217) 528-7541
Type: Mailing
304 W HAY ST STE 112
DECATUR, IL 625266329
Phone: (217) 528-7541
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $2,503.
Total Amount is formed as General ($2,503) + Research ($0) + Ownership ($0) = $2,503.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: TriMed, Inc. ($2,247).
Total Amount
$2,503
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,503
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriMed, Inc. | $2,247 |
| Stryker Corporation | $86 |
| Endo USA, Inc. | $54 |
| Wardlow Enterprises | $46 |
| Bioventus LLC | $19 |
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: 2003-12-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031218000557 | I | Orthopedic Surgery | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 375 | 236 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 343 | 159 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 232 | 152 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 212 | 140 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 187 | 66 | $0 |
Insurance plans in this area (ZIP 62526)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 223 | 135 |
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