JOHN W BRAZZELL (MD) – Family Medicine Physician, NPI 1447246186
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
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Provider Addresses for JOHN W BRAZZELL (MD)
South 20th Street, Paducah, McCracken County, Kentucky, 42003, United States
PADUCAH, KY 42001
Phone: (270) 575-3247
Fax: (270) 442-7335
Type: Location
PO BOX 497
AUGUSTA, AR 720060497
Phone: (870) 347-2534
Fax: (870) 347-3492
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Lilly USA, LLC ($113).
Total Amount
$190
General + Research + Ownership
Payments
5
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $113 |
| Indivior Inc. | $37 |
| Inari Medical, Inc. | $22 |
| Braeburn Inc. | $18 |
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: 2010-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20100920001172 | I | Family Practice | KY | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 42001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 81002 | Urinalysis, manual test | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | AR |
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