DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) – Emergency Medicine Physician, NPI 1164719134

DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) is a healthcare provider. based in East lansing, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D., PH.D.. They hold a License No. 4301099282 (MI). The NPI Number for DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) is 1164719134

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.)
NPI
1164719134
Phone
(517) 884-2976
Address
804 SERVICE RD
Enumeration Date
29 June 2011
Last Update Date
14 July 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5179757500
Graduation Year
2011 (15 years ago)
PAC ID
0648493023
Group Practice PAC ID
2365968351
Professional Enrollment ID
I20140604000464
Address ID
MI489108394LA2900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.)

  • 804 SERVICE RD

    A201

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 1215 E MICHIGAN AVE

    SPARROW HOSPITAL

    LANSING, MI 48912

    Phone: (517) 364-1000

    Type: Location

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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: CSL Behring ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$30
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: 2014-06-04

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
I20140604000464IEmergency MedicineMITBD

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 making199193$0
99284Emergency department visit with moderate level of medical decision making110107$0
99291Critical care, first 30-74 minutes3232$0
99283Emergency department visit with low level of medical decision making1716$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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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: 2365968351View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Internal MedicineMI
Internal MedicineMI
Physician AssistantMI
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Radiation Oncology, Diagnostic RadiologyMI

Reviews

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Frequently asked questions

How is DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) with NPI 1164719134.
Can I rely on DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) being an active provider?
As of the registry snapshot, DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) is marked active.
What taxonomy line describes DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.)?
For research purposes, treat DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) serve?
DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.)'s listing highlights East Lansing, Michigan; more addresses can appear in NPPES.
Why does DR. BRETT ERIC ETCHEBARNE (M.D., PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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