TODD D BRANDON (M.D.) – Surgery Physician, NPI 1174594766

TODD D BRANDON (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 01053917A (IN). The NPI Number for TODD D BRANDON (M.D.) is 1174594766

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
TODD D BRANDON (M.D.)
NPI
1174594766
Phone
Not provided
Address
11109 PARKVIEW PLAZA DR # 117
Enumeration Date
31 January 2006
Last Update Date
17 October 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2604814700
Graduation Year
1996 (30 years ago)
PAC ID
0446251334
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20070228000125
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

729 GENERAL SURGERY in IN

Provider Addresses for TODD D BRANDON (M.D.)

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 306 E MAUMEE ST STE 102

    ANGOLA, IN 467032044

    Phone: (260) 668-8633

    Fax: (260) 668-7563

    Type: Location

  • Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451715

    Phone: (260) 484-9611

    Fax: (260) 484-1004

    Type: Mailing

  • 150, Growth Parkway, Angola, Steuben County, Indiana, 46703, United States

    ANGOLA, IN 467039313

    Phone: (260) 668-8633

    Fax: (260) 668-7563

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $381.

Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Boston Scientific Corporation ($381).

Total Amount

$381

General + Research + Ownership

Payments

3

Total payment records

General Amount

$381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2007-02-28

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
I20070228000125IGeneral SurgeryINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8063$0
45380Biopsy of large bowel using a flexible endoscope6767$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2726$0
45381Injection beneath lining of large bowel using a flexible endoscope2121$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

How do payers reference TODD D BRANDON (M.D.)?
For TODD D BRANDON (M.D.), use NPI 1174594766 as the unique 10-digit identifier.
Is TODD D BRANDON (M.D.) shown as active in public data?
Registry records indicate TODD D BRANDON (M.D.) maintains an active NPI.
What expertise is attributed to TODD D BRANDON (M.D.)?
TODD D BRANDON (M.D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with TODD D BRANDON (M.D.)?
Directory geography for TODD D BRANDON (M.D.) centers on Fort Wayne, Indiana.
Does TODD D BRANDON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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