NEAL ROSS BROCKBANK (D.O.) – Family Medicine Physician, NPI 1619941754
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for NEAL ROSS BROCKBANK (D.O.)
212, North Main Street, Fairfax, Osage County, Oklahoma, 74637, United States
FAIRFAX, OK 746373023
Phone: (918) 642-3100
Fax: (918) 642-5415
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $11.
Total Amount is formed as General ($11) + Research ($0) + Ownership ($0) = $11.
Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Organon LLC ($11).
Total Amount
$11
General + Research + Ownership
Payments
1
Total payment records
General Amount
$11
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $11 |
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: 2015-11-06
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 |
|---|---|---|---|---|
| I20151106000969 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 58 | 58 | $0 |
| 71046 | X-ray of chest, 2 views | 43 | 38 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 14 | 13 | $0 |
Insurance plans in this area (ZIP 74637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| - | OK | |
| Clinical Social Worker | OK |
Reviews
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