DR. KRISTEN THEOBALD BRAIG (MD) – Family Medicine Physician, NPI 1265422950
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for DR. KRISTEN THEOBALD BRAIG (MD)
9055 OCONNORS POINT DR
BELLE CENTER, OH 433109300
Phone: (937) 843-4195
Fax: (937) 593-8404
Type: Mailing
Timber Trail, Bellefontaine, Jefferson Township, Logan County, Ohio, 43311, United States
MAPLE LEAF FAMILY AND SPORTS MEDICINE
BELLEFONTAINE, OH 433119036
Phone: (937) 592-3808
Fax: (937) 593-8404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($56).
Total Amount
$115
General + Research + Ownership
Payments
7
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $56 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $28 |
| Exact Sciences Corporation | $16 |
| PFIZER INC. | $15 |
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: 2004-03-03
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 |
|---|---|---|---|---|
| I20040303000317 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 301 | 178 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 247 | 143 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 188 | 188 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 151 | 151 | $0 |
| 83036 | Hemoglobin a1c level | 88 | 61 | $0 |
Insurance plans in this area (ZIP 43310)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 83036 | Hemoglobin A1C level | 72 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| Nurse Practitioner | OH |
Reviews
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