DRAKE GLENN LEBRUN – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1861997579

DRAKE GLENN LEBRUN is a healthcare provider. based in Cambridge, Massachusetts. specializing in ORTHOPEDIC SURGERY. They hold a License No. V1526 (TX). The NPI Number for DRAKE GLENN LEBRUN is 1861997579

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DRAKE GLENN LEBRUN
NPI
1861997579
Phone
(469) 358-5445
Address
1137 MASSACHUSETTS AVE APT 34
Enumeration Date
26 March 2018
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137992300
Graduation Year
2018 (8 years ago)
PAC ID
9133460520
Group Practice PAC ID
9931529062
Professional Enrollment ID
I20241214000273
Address ID
TX773396028KI22751DRXX301
Telehealth
Yes

Contacts

Secure Messaging
dlebrun97448@direct.HSS.edu
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
FHIR Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

2,187 ORTHOPEDIC SURGERY in TX

Provider Addresses for DRAKE GLENN LEBRUN

  • 1137 MASSACHUSETTS AVE APT 34

    CAMBRIDGE, MA 021385212

    Phone: (469) 358-5445

    Type: Mailing

  • 22751 PROFESSIONAL DR STE 250

    KINGWOOD, TX 773396028

    Phone: (281) 668-7205

    Type: Location

  • 3400 Civic Center Blvd Fl 6

    Philadelphia, PA 191045162

    Phone: (215) 898-8001

    Type: Location

  • 7401 Main St

    Houston, TX 770304509

    Phone: (713) 799-2300

    Type: Location

  • Civic Center Boulevard, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    PHILADELPHIA, PA 191045162

    Phone: (215) 898-8001

    Type: Location

  • 7401 MAIN ST

    HOUSTON, TX 770304509

    Phone: (713) 799-2300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $16,231.

Total Amount is formed as General ($16,231) + Research ($0) + Ownership ($0) = $16,231.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Smith+Nephew, Inc. ($13,987).

Total Amount

$16,231

General + Research + Ownership

Payments

34

Total payment records

General Amount

$16,231

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

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: 2024-12-14

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
I20241214000273IOrthopedic SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02138)

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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: 9931529062View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerLA
P O D I A T R YTX
Physician AssistantTX
Physician AssistantTX
Hand Surgery, Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for DRAKE GLENN LEBRUN?
Save NPI 1861997579 if you need a stable reference for DRAKE GLENN LEBRUN.
Is DRAKE GLENN LEBRUN currently active in the NPI registry?
CMS-published data lists DRAKE GLENN LEBRUN as an active registrant.
Does DRAKE GLENN LEBRUN list a primary specialty?
If you are matching referrals, note Adult Reconstructive Orthopaedic Surgery Physician for DRAKE GLENN LEBRUN. Clinical services aligned with this taxonomy classification.
Where is DRAKE GLENN LEBRUN's primary listing?
We display Cambridge, Massachusetts because that is what the record indicates for DRAKE GLENN LEBRUN.
What if Cambridge, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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