DR. MICHAEL BRENNER (M.D.) – Family Medicine Physician, NPI 1114992674
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
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Provider Addresses for DR. MICHAEL BRENNER (M.D.)
Family Health Care of Siouxland – South Sioux Clinic, 3250, Plaza Drive, South Sioux City, Dakota County, Nebraska, 68776, United States
SOUTH SIOUX CITY, NE 687763144
Phone: (402) 412-4220
Fax: (402) 412-4222
Type: Location
200 GOLD CIR STE 120
DAKOTA DUNES, SD 570495501
Phone: (605) 217-0700
Fax: (605) 217-0701
Type: Mailing
814 PIERCE ST STE 300
SIOUX CITY, IA 511011058
Phone: (712) 226-2600
Fax: (712) 226-2605
Type: Mailing
814, Pierce Street, Sioux City, Woodbury County, Iowa, 51101, United States
SUITE 102
SIOUX CITY, IA 511011058
Phone: (712) 226-2600
Fax: (712) 226-2605
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 313 Open Payments records for all available years, with a total value of $8,473.
Total Amount is formed as General ($8,473) + Research ($0) + Ownership ($0) = $8,473.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($3,992).
Total Amount
$8,473
General + Research + Ownership
Payments
313
Total payment records
General Amount
$8,473
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $3,992 |
| AstraZeneca Pharmaceuticals LP | $799 |
| ABBVIE INC. | $493 |
| AIMMUNE THERAPEUTICS, INC. | $256 |
| GlaxoSmithKline, LLC. | $245 |
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: 2012-05-23
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 |
|---|---|---|---|---|
| I20041025000851 | I | Family Practice | IA | TBD |
| I20050801000442 | I | Family Practice | NE | TBD |
| I20120523000071 | I | Family Practice | SD | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,980 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 426 | 191 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 401 | 180 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 336 | 167 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 311 | 165 | $0 |
Insurance plans in this area (ZIP 68776)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| Family Practice, Osteopathic Manipulative Medicine | SD | |
| - | IA | |
| Family Practice | IA | |
| - | NE | |
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| - | IA | |
| Nurse Practitioner | IA |
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