DR. JEFFREY REX BRACE (M.D.) – Diagnostic Radiology Physician, NPI 1619905924
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. JEFFREY REX BRACE (M.D.)
9055 Springbrook Dr NW
Coon Rapids, MN 554335841
Phone: (763) 780-9155
Type: Location
4801 West 81st Street
Suite 108
Bloomington, MN 554371111
Phone: (952) 837-9700
Fax: (952) 837-9701
Type: Location
250 Thompson St
Saint Paul, MN 551022370
Phone: (651) 292-2000
Fax: (651) 292-2136
Type: Location
Thompson Street, Saint Paul, Ramsey County, Minnesota, 55155, United States
SAINT PAUL, MN 551022370
Phone: (651) 292-2000
Fax: (651) 292-2136
Type: Location
West 81st Street, Bloomington, Hennepin County, Minnesota, 55431, United States
SUITE 108
BLOOMINGTON, MN 554371111
Phone: (952) 837-9700
Fax: (952) 837-9701
Type: Mailing
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 551133905
Phone: (651) 292-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2020-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20041204000145 | I | Diagnostic Radiology | MN | TBD |
| I20200724001839 | I | Diagnostic Radiology | WI | TBD |
| I20201218001686 | I | Diagnostic Radiology | ND | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 902 | 11 | $0 |
| 70450 | Ct scan head or brain without contrast | 859 | 818 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 290 | 271 | $0 |
| 72125 | Ct scan of upper spine without contrast | 222 | 219 | $0 |
| 70553 | Mri scan of brain before and after contrast | 211 | 207 | $0 |
Insurance plans in this area (ZIP 55433)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 71010 | X-ray of chest, 1 view, front | 213 | 182 |
| DIAGNOSTIC RADIOLOGY | MN | 73562 | X-ray of knee, 3 views | 20 | 18 |
| DIAGNOSTIC RADIOLOGY | MN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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