BRIAN T LAURSEN (P.A.) – Physician Assistant, NPI 1164425187
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
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Provider Addresses for BRIAN T LAURSEN (P.A.)
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States
FORT WAYNE, IN 468012526
Phone: (260) 436-8686
Fax: (260) 432-5075
Type: Mailing
7601, West Jefferson Boulevard, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468044133
Phone: (260) 436-8686
Fax: (260) 432-5075
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $231.
Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($138).
Total Amount
$231
General + Research + Ownership
Payments
2
Total payment records
General Amount
$231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $138 |
| Silk Road Medical, Inc. | $93 |
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: 2004-03-18
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 |
|---|---|---|---|---|
| I20040318000242 | 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.
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 | 94 | 93 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 57 | 57 | $0 |
| 73564 | X-ray of knee, 4 or more views | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 30 | 30 | $0 |
Insurance plans in this area (ZIP 46801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN |
Reviews
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