BRANDON GENE DOUGLASS – Surgery Physician, NPI 1356846448
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
730 GENERAL SURGERY in MN
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Provider Addresses for BRANDON GENE DOUGLASS
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
110 S APPLE BLOSSOM DR
CHELAN, WA 988168810
Phone: (509) 682-3300
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Lilly USA, LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $14 |
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: 2026-01-06
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 |
|---|---|---|---|---|
| I20230911002273 | I | General Surgery | WA | TBD |
| I20260106004001 | I | General Surgery | WY | 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 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Internal Medicine | IN | |
| Hospitalist, Family Practice | MN | |
| Family Practice | KS | |
| Diagnostic Radiology | MN | |
| Physician Assistant | WA | |
| Hospitalist, Family Practice | NV | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Diagnostic Radiology | MN |
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