BROOKE MCDERMOTT (MD) – Emergency Medicine Physician, NPI 1770769929

BROOKE MCDERMOTT (MD) is a healthcare provider. based in Saint john, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01069292A (IN). The NPI Number for BROOKE MCDERMOTT (MD) is 1770769929

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE MCDERMOTT (MD)
NPI
1770769929
Phone
(219) 365-1166
Address
9660 WICKER AVE
Enumeration Date
18 January 2008
Last Update Date
27 March 2015

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2198361600
Graduation Year
2004 (22 years ago)
PAC ID
4385702695
Group Practice PAC ID
6608056171
Professional Enrollment ID
I20110421000458
Address ID
IN463212901MU901XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

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Provider Addresses for BROOKE MCDERMOTT (MD)

  • 9660, Wicker Avenue, Saint John, St. John, Lake County, Indiana, 46373, United States

    SAINT JOHN, IN 463739487

    Phone: (219) 365-1166

    Fax: (219) 365-8852

    Type: Location

  • 2137, West Caton Street, Wicker Park, West Town, Chicago, Cook County, Illinois, 60647, United States

    APT 1

    CHICAGO, IL 606475402

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Penumbra, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Penumbra, Inc.$19
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: 2011-04-21

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
I20110421000458IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making217213$0
99291Critical care, first 30-74 minutes9794$0
99292Critical care, each additional 30 minutes6543$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only4646$0
99284Emergency department visit with moderate level of medical decision making4444$0
View full utilization report →

Insurance plans in this area (ZIP 46373)

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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: 6608056171View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineNH
Family Practice, Emergency MedicineNC
Physician AssistantOR
Emergency MedicineIL
Emergency MedicineIN
Emergency MedicineTN
-OR

Reviews

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Frequently asked questions

How is BROOKE MCDERMOTT (MD) identified in CMS data?
CMS-hosted NPPES data lists BROOKE MCDERMOTT (MD) with NPI 1770769929.
Can I rely on BROOKE MCDERMOTT (MD) being an active provider?
As of the registry snapshot, BROOKE MCDERMOTT (MD) is marked active.
What is BROOKE MCDERMOTT (MD)'s specialty?
The listing groups BROOKE MCDERMOTT (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BROOKE MCDERMOTT (MD)?
BROOKE MCDERMOTT (MD)'s geographic hint is Saint John, Indiana in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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