RACQUEL BROCKINGTON (DO) – Family Medicine Physician, NPI 1205955929
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for RACQUEL BROCKINGTON (DO)
2700 HAMLIN BLVD
INKSTER, MI 481412206
Phone: (734) 941-4991
Fax: (734) 941-4919
Type: Mailing
2151 E JEFFERSON AVE
DETROIT, MI 482074161
Phone: (313) 259-7990
Fax: (313) 259-7294
Type: Location
1601 E KALAMAZOO ST
LANSING, MI 489122701
Phone: (517) 679-2880
Type: Location
PO BOX 30161
LANSING, MI 489097661
Phone: (517) 887-4383
Type: Mailing
2151 E Jefferson Ave
Detroit, MI 482074161
Phone: (313) 259-7990
Fax: (313) 259-7294
Type: Location
1914 LOURDES CT
LANSING, MI 489100617
Phone: (313) 525-0365
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $208.
Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($50).
Total Amount
$208
General + Research + Ownership
Payments
11
Total payment records
General Amount
$208
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-06-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090623000535 | I | Family Practice | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Infectious Disease | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| Family Practice | MI |
Reviews
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