BRENT S. LOTTERMAN (PA-C) – Physician Assistant, NPI 1881889053
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for BRENT S. LOTTERMAN (PA-C)
Electric Avenue, Grand Trunk Business Park, Port Huron, Saint Clair County, Michigan, 48060, United States
SUITE E
PORT HURON, MI 480606587
Phone: (810) 987-9871
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Medtronic, Inc. ($49).
Total Amount
$161
General + Research + Ownership
Payments
7
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $49 |
| SI-BONE, INC. | $40 |
| Nevro Corp. | $23 |
| Smith+Nephew, Inc. | $18 |
| Boston Scientific Corporation | $15 |
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: 2007-10-15
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 |
|---|---|---|---|---|
| I20071015000156 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 307 | 239 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 196 | 193 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 123 | 123 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 96 | 79 | $0 |
| 72050 | X-ray of upper spine, 4-5 views | 55 | 55 | $0 |
Insurance plans in this area (ZIP 48060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Orthopedic Surgery | PA | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Sports Medicine, Orthopedic Surgery | MI |
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