DR. JOHN BRIAN BRIZENDINE (MD) – Surgery Physician, NPI 1457575813

DR. JOHN BRIAN BRIZENDINE (MD) is a healthcare provider. based in Marshall, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. LL 25038 (SC). The NPI Number for DR. JOHN BRIAN BRIZENDINE (MD) is 1457575813

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN BRIAN BRIZENDINE (MD)
NPI
1457575813
Phone
(660) 886-6692
Address
2305 SOUTH 65 HIGHWAY, BUILDING A
Enumeration Date
13 April 2007
Last Update Date
5 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7911060702
Group Practice PAC ID
4981688900
Professional Enrollment ID
I20210323001742
Address ID
AZ853901448WI523XXLNXX300

Contacts

Secure Messaging
JOHNBRIZENDINE@fitzgibbon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

785 GENERAL SURGERY in MO

Provider Addresses for DR. JOHN BRIAN BRIZENDINE (MD)

  • 2305 SOUTH 65 HIGHWAY, BUILDING A

    MARSHALL, MO 653403702

    Phone: (660) 886-6692

    Fax: (660) 886-3321

    Type: Mailing

  • 20333 N 19TH AVE STE 230

    PHOENIX, AZ 850279901

    Phone: (480) 707-9504

    Fax: (602) 581-7764

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $3,736.

Total Amount is formed as General ($3,736) + Research ($0) + Ownership ($0) = $3,736.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Davol Inc. ($2,112).

Total Amount

$3,736

General + Research + Ownership

Payments

47

Total payment records

General Amount

$3,736

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-03-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090105000442IGeneral SurgeryMOTBD
I20210323001742IGeneral SurgeryAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less5415$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3623$0
99205New patient office or other outpatient visit, 60-74 minutes1414$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 65340)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981688900View full group profile
NameSpecialtyState
-SC
Cardiovascular Disease (Cardiology), Interventional CardiologyAZ
Orthopedic SurgeryAZ
General SurgeryCA
General SurgeryAZ
-AZ
Nurse PractitionerAZ
Physician AssistantAZ
-AZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What NPI should I save for DR. JOHN BRIAN BRIZENDINE (MD)?
Save NPI 1457575813 if you need a stable reference for DR. JOHN BRIAN BRIZENDINE (MD).
Is DR. JOHN BRIAN BRIZENDINE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JOHN BRIAN BRIZENDINE (MD)?
The page reflects Surgery Physician for DR. JOHN BRIAN BRIZENDINE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JOHN BRIAN BRIZENDINE (MD)?
The snapshot lists Marshall, Missouri for DR. JOHN BRIAN BRIZENDINE (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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