BRADLEY J CHAMPAGNE (MD) – Colon & Rectal Surgery Physician, NPI 1154357085

BRADLEY J CHAMPAGNE (MD) is a healthcare provider. based in Shaker heights, Ohio. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 056041 (GA). The NPI Number for BRADLEY J CHAMPAGNE (MD) is 1154357085

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY J CHAMPAGNE (MD)
NPI
1154357085
Phone
(216) 286-6295
Address
3605 WARRENSVILLE CENTER RD
Enumeration Date
23 June 2006
Last Update Date
13 January 2010

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
4402827420
Graduation Year
2000 (26 years ago)
PAC ID
8628012945
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20061004000144
Address ID
OH440532384LO5172XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

133 COLORECTAL SURGERY (PROCTOLOGY) in OH

Provider Addresses for BRADLEY J CHAMPAGNE (MD)

  • 3605, Warrensville Center Road, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    1ST FLOOR

    SHAKER HEIGHTS, OH 44122

    Phone: (216) 286-6295

    Fax: (216) 286-6341

    Type: Mailing

  • 11100 EUDLID AVENUE

    CLEVELAND, OH 44106

    Phone: (216) 844-7874

    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 $1,429.

Total Amount is formed as General ($1,429) + Research ($0) + Ownership ($0) = $1,429.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($957).

Total Amount

$1,429

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,429

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2006-10-04

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
I20061004000144IColorectal Surgery (Proctology)OHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2725$0
99213Established patient office or other outpatient visit, 20-29 minutes2524$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
46600Diagnostic exam of anus using an endoscope1515$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1313$0
View full utilization report →

Insurance plans in this area (ZIP 44122)

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Provider's Procedures

BRADLEY J CHAMPAGNE (MD) performs procedures in COLORECTAL SURGERY (PROCTOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
COLORECTAL SURGERY (PROCTOLOGY)OH46600Diagnostic examination of the anus using an endoscope1414

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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is BRADLEY J CHAMPAGNE (MD) identified in CMS data?
CMS-hosted NPPES data lists BRADLEY J CHAMPAGNE (MD) with NPI 1154357085.
Is BRADLEY J CHAMPAGNE (MD) listed as active for patients and plans?
The listing shows BRADLEY J CHAMPAGNE (MD) as active in the NPI system.
What is BRADLEY J CHAMPAGNE (MD) best known for clinically?
Directory data describes BRADLEY J CHAMPAGNE (MD) with Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BRADLEY J CHAMPAGNE (MD)?
BRADLEY J CHAMPAGNE (MD)'s geographic hint is Shaker Heights, Ohio in our summary view.
Is the information about BRADLEY J CHAMPAGNE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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