BRIAN FABRIES (PA-C, ATC) – Physician Assistant, NPI 1154859874
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for BRIAN FABRIES (PA-C, ATC)
4951 US HIGHWAY 231 S
LAFAYETTE, IN 479093447
Phone: (765) 409-8556
Type: Location
1 Walter Scholer Dr
Lafayette, IN 479096303
Phone: (765) 448-8000
Type: Location
3426, Burnley Drive, Arbor Chase, West Lafayette, Tippecanoe County, Indiana, 47906, United States
WEST LAFAYETTE, IN 479068701
Phone: (765) 409-8556
Type: Mailing
1924 ABNAKI WAY
WEST LAFAYETTE, IN 479065488
Phone: (765) 409-8556
Type: Mailing
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 479061501
Phone: (765) 409-8556
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: 2025-08-11
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 |
|---|---|---|---|---|
| I20250811000195 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | KY | |
| Physician Assistant | IN | |
| Physician Assistant | MI | |
| Internal Medicine | IN | |
| Anesthesiology, Pain Management | TN | |
| Internal Medicine, Hospitalist | IN | |
| U R O L O G Y | NC | |
| Nurse Practitioner | IN |
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