DR. BROOK VININE NELSON (M.D.) – Surgery Physician, NPI 1215156476
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
Provider Addresses for DR. BROOK VININE NELSON (M.D.)
2310 HOLMES ST STE 800
KANSAS CITY, MO 641082602
Phone: (816) 218-2500
Fax: (816) 421-7379
Type: Mailing
7900 LEES SUMMIT RD
KANSAS CITY, MO 641391236
Phone: (816) 404-9394
Fax: (816) 404-9395
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 $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Innovation Technologies Inc ($153).
Total Amount
$153
General + Research + Ownership
Payments
1
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $153 |
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: 2017-08-22
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 |
|---|---|---|---|---|
| I20120809000897 | I | General Surgery | ND | TBD |
| I20170822001835 | I | General Surgery | MO | 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 64108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | WA | |
| Internal Medicine | MT | |
| Emergency Medicine | MT | |
| Physical Therapist In Private Practice | MO | |
| Physician Assistant | GA | |
| Nurse Practitioner | VA | |
| Clinical Social Worker | MT | |
| Internal Medicine | MT | |
| U R O L O G Y | MT | |
| Internal Medicine | MT |
Reviews
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