DESMON ANTONIO JR. BROWN (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1457554412
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 MAXILLOFACIAL SURGERY in IN
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Provider Addresses for DESMON ANTONIO JR. BROWN (DDS)
Indiana University School of Dentistry, 1121, West Michigan Street, Indianapolis, Marion County, Indiana, 46202, United States
DS 307B
INDIANAPOLIS, IN 462025186
Phone: (317) 278-3632
Fax: (317) 274-2603
Type: Mailing
1001, West 10th Street, Historic Ransom Place, Indianapolis, Marion County, Indiana, 46202, United States
#3101
INDIANAPOLIS, IN 462022859
Phone: (317) 630-6297
Fax: (317) 630-2424
Type: Location
1168 WESTVALIE DRIVE
CARMEL, IN 46032
Phone: (904) 537-5764
Fax: (317) 274-2603
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $578.
Total Amount is formed as General ($578) + Research ($0) + Ownership ($0) = $578.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: KLS-Martin L.P. ($244).
Total Amount
$578
General + Research + Ownership
Payments
9
Total payment records
General Amount
$578
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
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $244 |
| Straumann USA LLC | $194 |
| Southern Anesthesia & Surgical, Inc (dba Ace Southern) | $140 |
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: 2011-08-02
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 |
|---|---|---|---|---|
| I20110802000151 | I | Maxillofacial Surgery | 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 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dentist, Oral Surgery, Maxillofacial Surgery | IN | |
| Qualified Audiologist | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| - | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| Maxillofacial Surgery, Dentist, Oral Surgery, Anesthesiology | NC |
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