MYRON BROOK REDD (MD) – Surgery Physician, NPI 1962438770
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
Provider Addresses for MYRON BROOK REDD (MD)
3460 NE Ralph Powell Rd
Lees Summit, MO 640642361
Phone: (816) 246-0800
Fax: (816) 246-6613
Type: Location
11608 HWY 32 NE
THIEF RIVER FALLS, MN 567012700
Phone: (218) 280-7062
Type: Mailing
Sanford Thief River Falls Medical Center, 3001, Sanford Parkway, Thief River Falls, Pennington County, Minnesota, 56701, United States
THIEF RIVER FALLS, MN 56701
Phone: (218) 681-4747
Type: Location
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: 2020-02-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200211000247 | I | General Surgery | CO | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,042 | 418 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 349 | 230 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 263 | 263 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 254 | 102 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 240 | 41 | $0 |
Insurance plans in this area (ZIP 64064)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MO | 45385 | Removal of polyps or growths of large bowel using an endoscope | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| Nurse Practitioner | IL | |
| U R O L O G Y | CO | |
| General Surgery, General Practice | CO | |
| General Surgery, General Practice, General Practice | FL | |
| Nurse Practitioner | CO | |
| Family Practice | CO | |
| - | OR | |
| P O D I A T R Y | CO | |
| Physician Assistant | WA |
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