LISA MARIE BRENNAMAN (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1841384401

LISA MARIE BRENNAMAN (MD) is a healthcare provider. based in Columbia, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2006004611 (MO). The NPI Number for LISA MARIE BRENNAMAN (MD) is 1841384401

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE BRENNAMAN (MD)
NPI
1841384401
Phone
(573) 817-3165
Address
500 N KEENE ST
Enumeration Date
3 October 2006
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5738176500
Graduation Year
2004 (22 years ago)
PAC ID
0042382442
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20080630000447
Address ID
MO652016986CO402XXSTXX400

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

928 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for LISA MARIE BRENNAMAN (MD)

  • 500, North Keene Street, Columbia, Boone County, Missouri, 65201, United States

    STE 306

    COLUMBIA, MO 652018370

    Phone: (573) 817-3165

    Fax: (573) 875-9260

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 1020 HITT ST

    COLUMBIA, MO 652120001

    Phone: (573) 499-6084

    Fax: (573) 499-6088

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: ConvaTec Inc. ($67).

Total Amount

$211

General + Research + Ownership

Payments

10

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2008-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080630000447IObstetrics/GynecologyMOTBD

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
52287Exam with injections of chemical for destruction of bladder using an endoscope3026$0
51701Insertion of temporary bladder tube1818$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

What is the standard ID for LISA MARIE BRENNAMAN (MD) in the U.S.?
In the U.S., LISA MARIE BRENNAMAN (MD) is identified by NPI 1841384401.
Is LISA MARIE BRENNAMAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists LISA MARIE BRENNAMAN (MD) as active.
What services align with LISA MARIE BRENNAMAN (MD)'s listing?
LISA MARIE BRENNAMAN (MD)'s public classification highlights Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA MARIE BRENNAMAN (MD)?
LISA MARIE BRENNAMAN (MD) shows a connection to Columbia, Missouri in registry-derived data.
Why is information missing for LISA MARIE BRENNAMAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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