NICHOLAS C BRAUTIGAM (M.D.) – Emergency Medicine Physician, NPI 1780926212

NICHOLAS C BRAUTIGAM (M.D.) is a healthcare provider. based in Centerville, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35.127322 (OH). The NPI Number for NICHOLAS C BRAUTIGAM (M.D.) is 1780926212

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS C BRAUTIGAM (M.D.)
NPI
1780926212
Phone
(806) 445-1500
Address
10949 SHALLOW CREEK CT
Enumeration Date
22 March 2013
Last Update Date
16 July 2020

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2166432780
Graduation Year
2013 (13 years ago)
PAC ID
8820226129
Group Practice PAC ID
0547234288
Professional Enrollment ID
I20160502001086
Address ID
OH453427615MI4000XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for NICHOLAS C BRAUTIGAM (M.D.)

  • 10949 SHALLOW CREEK CT

    CENTERVILLE, OH 454587501

    Phone: (806) 445-1500

    Fax: (806) 445-1500

    Type: Mailing

  • 9000 N MAIN ST

    ENGLEWOOD, OH 45415

    Phone: (937) 734-9530

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,478.

Total Amount is formed as General ($1,478) + Research ($0) + Ownership ($0) = $1,478.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Integra LifeSciences Corporation ($1,241).

Total Amount

$1,478

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,478

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2016-05-02

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
I20160502001086IEmergency MedicineOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,347295$0
99213Established patient office or other outpatient visit, 20-29 minutes891240$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes172164$0
11042Removal of skin and tissue, 20.0 sq cm or less8765$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
View full utilization report →

Insurance plans in this area (ZIP 45458)

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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: 0547234288View full group profile
NameSpecialtyState
Undersea And Hyperbaric Medicine, Emergency MedicineOH

Reviews

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Frequently asked questions

Where can patients find NICHOLAS C BRAUTIGAM (M.D.)'s NPI?
You can confirm NICHOLAS C BRAUTIGAM (M.D.) with NPI 1780926212; it appears in the national provider directory.
Is NICHOLAS C BRAUTIGAM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NICHOLAS C BRAUTIGAM (M.D.) work in?
You can think of NICHOLAS C BRAUTIGAM (M.D.) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS C BRAUTIGAM (M.D.)?
We surface Centerville, Ohio for NICHOLAS C BRAUTIGAM (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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