DR. RICHARD JAMES BROUILLETTE (DO) – Interventional Pain Medicine Physician, NPI 1063626836
Interventional Pain Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
99 INTERVENTIONAL PAIN MANAGEMENT in MD
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Provider Addresses for DR. RICHARD JAMES BROUILLETTE (DO)
11350, McCormick Road, Hunt Valley, Cockeysville, Baltimore County, Maryland, 21030, United States
EXECUTIVE PLAZA 1, SUITE 501
HUNT VALLEY, MD 210311002
Phone: (301) 645-1523
Fax: (301) 645-6812
Type: Mailing
3460, Old Washington Road, Saint Charles, Waldorf, Charles County, Maryland, 20602, United States
SUITE 300
WALDORF, MD 206023240
Phone: (301) 645-1523
Fax: (301) 645-6812
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $4,282.
Total Amount is formed as General ($4,282) + Research ($0) + Ownership ($0) = $4,282.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($1,831).
Total Amount
$4,282
General + Research + Ownership
Payments
89
Total payment records
General Amount
$4,282
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 |
|---|---|
| Boston Scientific Corporation | $1,831 |
| Medtronic, Inc. | $1,208 |
| Collegium Pharmaceutical, Inc. | $542 |
| Vertos Medical, Inc. | $323 |
| MML US, Inc. | $266 |
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: 2011-08-11
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 |
|---|---|---|---|---|
| I20110811000078 | I | Interventional Pain Management | MD | TBD |
| I20110811000167 | I | Interventional Pain Management | DC | 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 |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 398 | 215 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 188 | 161 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 188 | 161 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 162 | 162 | $0 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 144 | 112 | $0 |
Insurance plans in this area (ZIP 21031)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| A N E S T H E S I O L O G Y | MD | |
| - | MD | |
| Physical Medicine And Rehabilitation | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| - | MD |
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