DR. MANUEL BROCKMAN (MD) – Internal Medicine Physician, NPI 1588152607
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
86 HOSPICE/PALLIATIVE CARE in MO
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Provider Addresses for DR. MANUEL BROCKMAN (MD)
911 LOCUST ST APT 604
SAINT LOUIS, MO 631011447
Phone: (316) 249-3690
Type: Mailing
SSM Health Saint Louis University Hospital, 3635, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 63110
Phone: (314) 577-8000
Type: Location
345 N RIVERVIEW ST STE 412
WICHITA, KS 672034202
Phone: (551) 295-8223
Fax: (855) 633-0585
Type: Mailing
345 N RIVERVIEW ST STE 500
WICHITA, KS 672034265
Phone: (316) 616-1055
Fax: (855) 633-0585
Type: Location
117 S Lexington St Ste 100
Harrisonville, MO 647012444
Phone: (316) 616-1055
Type: Location
3209 S Broadway Ste 229
Edmond, OK 730134064
Phone: (551) 295-8223
Type: Location
801 E Douglas Ave Fl 2nd
Wichita, KS 672023515
Phone: (551) 295-8223
Type: Location
101 W Hefner Rd
Oklahoma City, OK 731146631
Phone: (405) 896-8058
Type: Location
530 N RIDGE RD
WICHITA, KS 672126575
Phone: (316) 616-1055
Fax: (855) 633-0585
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-12-28
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 |
|---|---|---|---|---|
| I20220811000597 | I | Internal Medicine | MO | TBD |
| I20220825003958 | I | Internal Medicine | KS | TBD |
| I20221228000578 | I | Internal Medicine | OK | 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 |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 173 | 77 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 169 | 65 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 114 | 113 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 83 | 81 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 80 | 62 | $0 |
Insurance plans in this area (ZIP 63101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | KS |
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