BRANDY M PROTZ (PA -C) – Medical Physician Assistant, NPI 1508445511
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for BRANDY M PROTZ (PA -C)
12428 OLD MERIDIAN ST UNIT 211
CARMEL, IN 460326114
Phone: (618) 339-4464
Type: Mailing
11900 N PENN ST
CARMEL, IN 460324693
Phone: (317) 663-7123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,253.
Total Amount is formed as General ($1,253) + Research ($0) + Ownership ($0) = $1,253.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($448).
Total Amount
$1,253
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $448 |
| Novo Nordisk Inc | $270 |
| PFIZER INC. | $86 |
| Alexion Pharmaceuticals, Inc. | $43 |
| Phathom Pharmaceuticals, Inc. | $39 |
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: 2021-04-13
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 |
|---|---|---|---|---|
| I20210413002716 | 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 46032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Internal Medicine | IN |
Reviews
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