RANDY JOSEPH BRUSH (P.A.) – Medical Physician Assistant, NPI 1902141237
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 RANDY JOSEPH BRUSH (P.A.)
6301 UNIVERSITY COMMONS
SUITE 210
SOUTH BEND, IN 466351571
Phone: (574) 234-4016
Fax: (574) 251-2095
Mailing address matches the actual address.
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 $212.
Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Silk Road Medical, Inc. ($99).
Total Amount
$212
General + Research + Ownership
Payments
3
Total payment records
General Amount
$212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $99 |
| Otsuka America Pharmaceutical, Inc. | $99 |
| DePuy Synthes Sales Inc. | $13 |
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: 2023-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130507000576 | I | Physician Assistant | IN | TBD |
| I20230411002490 | I | Physician Assistant | IL | 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 | 101 | 100 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 75 | 75 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 21 | 21 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 17 | 16 | $0 |
| 73562 | X-ray of knee, 3 views | 13 | 12 | $0 |
Insurance plans in this area (ZIP 46635)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | NC | |
| Physician Assistant | MI | |
| - | IN | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | IL | |
| Nurse Practitioner | IN |
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